A CASE STUDY OF DECOMPENSATED CHRONIC LIVER DISEASE WITH PORTAL HYPERTENSION IN A MIDDLE-AGED MALE

Abstract

Decompensated chronic liver disease (DCLD) represents the advanced stage of cirrhosis characterized by the development of complications such as ascites, jaundice, portal hypertension, variceal bleeding, and hepatic encephalopathy. Alcohol remains one of the leading causes of chronic liver disease worldwide. We report a case of a 41-year-old male with a long history of alcohol consumption who presented with abdominal distension, jaundice, and gastrointestinal bleeding. Clinical evaluation, laboratory investigations, and ultrasonographic findings confirmed the diagnosis of decompensated chronic liver disease with portal hypertension. The patient was managed with diuretics, non-selective beta-blockers, lactulose, rifaximin, proton pump inhibitors, and supportive therapy, resulting in clinical stabilization. This case highlights the importance of early recognition, comprehensive evaluation, and multidisciplinary management of DCLD to prevent life-threatening complications.