A CASE OF SUSPECTED AUTOIMMUNE HEPATITIS SHOWING ODD SHAPED ATROPHIC LIVER

Abstract

A 62-year old woman was admitted to our hospital presenting the elevation of serum levels of γ-GTP and the hepatic deformity. She had twice acute hepatitis for unknown cause and was treated with corticosteroid at 26 and 33 years old. On imaging examinations, liver parenchyma was severely atrophic except for the left lateral inferior area (S3) and the right posterosuperior area (S7). On laparoscopy, the surface of the liver was whitish and thick and the left lateral lobe presented as potato-like liver. The liver biopsy findings showed non active chronic hepatitis. Autoimmune hepatitis was a most likely diagnosis, considering the compensated hypertrophy following wide necrosis of the liver parenchyma. Laparoscopy was useful as a diagnostic measure in this case.