[Clinical symptoms and the laparoscopic picture in chronic perihepatitis]

The author studied the clinical symptomatics of chronic perihepatitis, the diagnosis made laparoscopically in 163 patients with liver diseases. Ninety seven of them had pain and the sense of heaviness in the upper region of abdomen. The cause for those complaints in 33 patients (34,02%) was the chronic perihepatitis. In another 29 patients it was admitted a possible cause for the complaints. Therefore in 52 patients (53,61%), the complaints in the upper region of abdomen were due, most likely, to chronic perihepatitis. For the first time in literature, a systematic study on the clinical symptomatics of chronic perihepatitis is reported, an attempt made to explain the mechanism, causing its manifestation. According to the studies, besides Perihepatitis diffusa and Perihepatitis adhaesiva, Perihepatitis marginalis could also be the cause for complaints.