REPORT OF A CASE SURVIVING FULMINANT HEPATITIS WITH HETEROGENEITY OF SURFACE OF THE LIVER
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概要
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A 42 year-old Female began to have flapping tremor 3 days after admission. The prothrombin time was 30% on the 10th day. E E G performed on the 11th day showed scattered triphasic waves, serum ammonia being 202 pg/dl. α-Fetoprotein was 500 ng/ml on the 16th day. Peritoneoscopy performed on the 41th day showed nodular surface of the right lobe with slight atrophy and relatively smooth surface with several dimples in the left lobe. Liver biopsy performed from the right lobe showed massive hepatic necrosis. As far as histopatholoigcal findings are concerned, there are various findings from massive hepatic necrosis to minimal changes. There are no correlation between the severity of clinical illness and that of the histopathological findings. One reason for this discrepancy could be related to heterogencity of the lesion within the liver. Therefore, liver biopsy should be performed as much as possible under peritoneoscopic control.
- 社団法人 日本消化器内視鏡学会の論文
社団法人 日本消化器内視鏡学会 | 論文
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