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[Encapsulating peri-hepatitis. Apropos of 4 cases].
La Semaine Des Hopitaux : Organe Fonde Par L'Association D'Enseignement Medical Des Hopitaux De Paris
|January 26, 1975
Summary
Encapsulating peri-hepatitis can cause post-sinusoidal block and chylous ascites. Angiography revealed abnormal intra-hepatic arteries and portal vein obstruction in these patients.
Area of Science:
- Hepatology
- Vascular Radiology
- Gastroenterology
Background:
- Encapsulating peri-hepatitis is a rare condition characterized by fibrous encapsulation of the liver.
- Its pathogenesis and associated vascular findings are not fully understood.
Purpose of the Study:
- To describe the clinical and angiographic findings in four cases of encapsulating peri-hepatitis.
- To investigate the vascular abnormalities and potential causes of ascites in this condition.
Main Methods:
- Selective arteriography of the coeliac trunk.
- Catheterisation of hepatic veins.
- Lymphography.
- Laparoscopy.
Main Results:
- Angiography showed sinuous intra-hepatic arteries in 3 cases and portal vein obstruction in 1 case.
- Hepatic vein catheterisation indicated a post-sinusoidal block.
- Chylous ascites was present in 2 cases.
- Lymphography was negative in 3 cases.
Conclusions:
- Encapsulating peri-hepatitis can be associated with significant vascular abnormalities, including post-sinusoidal obstruction.
- The findings suggest a complex interplay of vascular and lymphatic issues in the disease process.
- Micro-nodular cirrhosis may precede the development of encapsulating peri-hepatitis.