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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Died Due To Hepatomegaly. Black Stools. Done Nephrectomy. Done Liver Function Tests. Help

Hi Doctor, i lost my daughter last month due to what the doctors said was hepatomegaly, why was her stool black in color?
Could it be that her liver had a problem after she underwent Nephrectomy in December last year?
Following some liver function tests done shortly before her demise it showed her Liver had stopped functioning long time ago, but she had never presented with jaundice, help me understand these as im stil trying to get into terms with the death f ma one and only daughter.
Thu, 20 Jun 2013
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Critical Care Specialist,  's  Response
Hi thanks for your question.
Liver failure could be the biggest reason for her death. What lead to liver failure? Liver function test done before death along with autopsy report could establish cause of liver failure. Nephrectomy cannot lead to liver failure unless it was performed for malignancy. Black stool could be due to bleeding from gastrointestinal tract, especially stomach, as she was having complete liver failure. Which means her coagulation system was not working, as all coagulation factors are produced in liver. In liver failure, jaundice is always there, autopsy can also resolve this issue.
Hope this answers your question.
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Died Due To Hepatomegaly. Black Stools. Done Nephrectomy. Done Liver Function Tests. Help

Hi thanks for your question. Liver failure could be the biggest reason for her death. What lead to liver failure? Liver function test done before death along with autopsy report could establish cause of liver failure. Nephrectomy cannot lead to liver failure unless it was performed for malignancy. Black stool could be due to bleeding from gastrointestinal tract, especially stomach, as she was having complete liver failure. Which means her coagulation system was not working, as all coagulation factors are produced in liver. In liver failure, jaundice is always there, autopsy can also resolve this issue. Hope this answers your question.