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Hepatic and Splenic Hyaloserositis.

Ádám Ferenczi1, Karim Rashid1, Yaffa Alkawasmi1

  • 1Department of Pathology, Albert Szent-Györgyi Medical School, University of Szeged, Állomás utca 1, 6725 Szeged, Hungary.

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Summary

Hyaloserositis, the icing sugar phenomenon, involves organs covered by a hyaline membrane. This autopsy finding, though uncommon in literature, presents diagnostic challenges, necessitating further research.

Keywords:
cirrhosisfrosted liverhyaloserositisicing sugar spleen

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Area of Science:

  • Pathology
  • Gastroenterology
  • Medical Autopsy

Background:

  • Hyaloserositis, or the icing sugar phenomenon, is characterized by a shiny, fibrous hyaline membrane covering organs.
  • This condition is infrequently documented, with varied nomenclature and etiology, often noted during autopsies.
  • It can mimic malignancy on imaging, posing diagnostic difficulties.

Purpose of the Study:

  • To present a case of hyaloserositis observed during autopsy in a patient with liver cirrhosis.
  • To review existing literature on hyaloserositis, highlighting its rarity and lack of pathological perspective.
  • To emphasize the need for scientific synthesis due to diagnostic challenges.

Main Methods:

  • Case presentation of a 71-year-old female patient with alcohol-induced liver cirrhosis.
  • Autopsy findings including gross examination of the liver and spleen, and histological examination.
  • Crossmon staining for confirmation of hyaloserositis.
  • Comprehensive literature review for documented cases and etiological factors.

Main Results:

  • The autopsy revealed a cirrhotic liver and enlarged spleen with features of hyaloserositis and acute fibrinopurulent peritonitis.
  • Histological examination confirmed classical hyaloserositis.
  • Literature search identified only seven previously reported cases.
  • No publications from a pathologist's perspective on hyaloserositis were found.

Conclusions:

  • Hyaloserositis, observed in this case alongside liver cirrhosis, requires further investigation.
  • Abdominal hyaloserositis is often linked to serohepatic tuberculosis, while pleural forms follow trauma.
  • The rarity and diagnostic mimicry of hyaloserositis underscore the need for increased awareness and research, particularly from a pathological standpoint.