Daughter very ill, ? Pancreas ? Liver ?Biliary obstruction

[patterson]

Prev Hx(6yrs ago):of Pancreatitis and benign growth in common bile duct, lapcholi and small bowel resection. Now 36 y/o, 112 lbs no hx of alcohol or drug abuse, mother of 3. Has intermittent upper abdominal (base of sternum through to back) pain ("like someone is driving a hot poker through her"), "fullness" "pressure" (however got through w/o seeking medical care as she was afraid to go through what she had before and thought as long as it went away she would be okay. Over the past 4 months she has experienced more frequent severe attacks (which incl dry heaves, low potassium levels and cardiac arrythmias)with two trips to the ER the most recent so severe she could not get her breath due to the pain resulting in overall body spasms (they admin D5W IV's, dilaudid and sent her home after 4-6 hrs telling her to follow up with phys. After each attack LFT's are extremely elevated (x3)and it takes her a 2-3 days to get back to normal(pain goes away but extreme fatique etc) (Also notes change in bowel habits over past cpl months, goes from diarrhea to no mvmt for 2-3 days and requires suppositories etc) This last attack she developed diarrhea,mucousy-blood tinged, stool culture + for c-dif, placed on flagyl, PO, she is not bouncing back this time. Dr finally agrees there is a problem. Sched for out-pt sigmoidoscopy yesterday & percutaneous transhepatic cholangiography and liver bx 10/15.
Does this sound familiar to anyone? Could the c-dif be from her liver malfunctioning (no recent hospitalization) What long range effects can these attacks and elevated LFT's have on the liver