1987 Volume 29 Issue 1 Pages 152-156_1
A case of idiopathic portal hypertension associated with peliosis hepatis was reported. A 19-year-old man was admitted to our hospital with a compliant of general fatigue. On peritoneoscopic examination, the liver surface appeared undulant without nodule formation. Peliosis hepatis was observed diffusely on the surface of the liver (by chance). The pressure of the portal vein was 365mmH2O. In histology, moderate fibrosis connecting the central vein to the portal triad was observed with no pseudolobule formation. Simultaneously, an amorphous blood filled space without lining was observed. The findings were interpreted as idiopathic portal hypertension associated witg peliosis hepatis. To our knowledge, such patient has not been reported in Japan. It was thought that in the present case, peliosis hepatis ensued by increased pressure of the sinusoid or presinusoid following increased portal hypertension.
