PERITONEOSCOPIC OBSERVATION OF THREE CASES WITH UNUSUAL REDDISH MARKINGS OF THE LIVER

Abstract

Periportal reddish markings are star-like or net-like in form and frequently observed in patients with chronic active hepatitis, type B, and were histologically revealed to be compatible with piecemeal or bridging necrosis of the hepatic parenchymal cells, especially with sublobular hepatic necrosis. We experienced two different forms of reddish makings (RM) in a case with acute Non-A, Non-B hepatitis and two cases with autoimmune hepatitis on routine peritoneoscopic examination, RM in acute Non-A, Non-B hepatitis case being centrilobular and RM in autoimmune hepatitis cases being multilobular. Histological findings revealed that centrilobular RM implied centrilobular hepatic cell necrosis and multilobular RM implied lobular sized hepatic cell necrosis and of the combination of the two types of RM was caused by massive necrosis on the area.