Blood clots in the main artery to the liver (hepatic artery) after a liver transplant
Swelling of blood vessels leading to reduced blood flow (vasculitis)
If low blood pressure continues for a long time, you may feel weak and light-headed. However, the period of low blood pressure may be brief and produce no symptoms. Damage to the liver cells usually does not cause symptoms until it affects liver function.
Blood clots in the liver's main artery may cause abdominal pain.
Exams and Tests
The following tests will be done:
Blood tests to check liver function (AST and ALT )
Doppler ultrasound of the liver's blood vessels
Treatment depends on the cause. Low blood pressure and blood clots must be properly treated.
Patients generally recover if the illness causing hepatic ischemia can be treated. Death from liver failure due to hepatic ischemia is very rare.
Liver failure is a rare but life-threatening complication.
When to Contact a Medical Professional
See your health care provider right away if you have persistent weakness or symptoms of shock or dehydration.
Quickly treating the causes of low blood pressure may prevent hepatic ischemia.
Stevens WE, Patil A. Vascular disease of the liver. In: Feldman M, Friedman LS, Brandt LJ eds. Sleisenger & Fordtran's Gastrointestinal and Liver Disease. 9th ed. Philadelphia, PA: Elsevier Saunders; 2010:chap 83.
Jennifer K. Lehrer, MD, Department of Gastroenterology, Frankford-Torresdale Hospital, Aria Health System, Philadelphia, PA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.