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Laparoscopic findings in two adults with chickenpox
R Uribarrena1, F Garcíla-Bragado, C Jiménez
1Department of Internal Medicine, Hospital Virgen del Camino, Pamplona, Spain.
Endoscopy
|March 1, 1988
Summary
Laparoscopic examination revealed characteristic hepatic lesions in two adults with chickenpox (varicella-zoster virus) and liver involvement. These findings correlate with the skin rash, aiding in diagnosis and understanding disease progression.
Area of Science:
- Hepatology
- Virology
- Gastroenterology
Background:
- Chickenpox (varicella-zoster virus) can present with hepatic involvement in adults.
- Abdominal pain and abnormal liver function tests may indicate liver complications during chickenpox.
Observation:
- Laparoscopy in chickenpox patients with hepatic involvement revealed distinct liver lesions.
- Lesions observed included round, necrotic-centered spots resembling the cutaneous rash and granular deposits.
Findings:
- Case 1 showed 2 mm necrotic lesions in hepatic lobes, mirroring the skin rash.
- Case 2 exhibited resolving lesions with scarring and depressed areas on the liver capsule, indicating advanced healing.
Implications:
- Laparoscopic findings can aid in diagnosing hepatic involvement in adult chickenpox.
- Understanding these lesions provides insight into the pathophysiology and resolution of varicella-zoster virus hepatitis.