PERITONEOSCOPIC FINDINGS OF SEVERE ACUTE HEPATITIS

Abstract

Peritoneoscopic and histological findings in four cases with sever acute hepatitis were studied. Patients in case 1, 2, 3 who recovered from acute liver failure rapidly had almost smooth liver surface and histological findings showing acute hepatitis with spotty and bridging necrosis. Their peritoneoscopic and histological findings were similar to those of fulminant hepatitis (acute type). Patient in case 4 who recovered from liver failure more slowly had potato like liver. His peritoneoscopic and histological findings were similar to those of fulminant hepatitis (subacute type). Peritoneoscopic and histological findings may suggest that two types with different mechanisms of hepatic necrosis and regeneration exist in severe acute hepatitis.