Laparoscopic and histological problems in the diagnosis of nodular regenerative hyperplasia of the liver

We describe the laparoscopic findings in 5 patients with nodular regenerative hyperplasia of the liver (NRH). A nodular liver surface and signs of portal hypertension were observed, which in all cases gave rise to the laparoscopic diagnosis of liver cirrhosis. Multiple and single liver biopsies in 3...

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Published inEndoscopy Vol. 17; no. 3; p. 105
Main Authors Solis Herruzo, J A, Duran, A, Colina, F, Santalla, F, Garcia-Cabezudo, J, Muñoz-Yagüe, M T, Morillas, J D
Format Journal Article
LanguageEnglish
Published Germany 01.05.1985
Subjects
Adult
Aged
Biopsy
Diagnosis, Differential
Female
Humans
Hyperplasia
Hypertension, Portal - diagnosis
Hypertension, Portal - pathology
Laparoscopy
Liver - pathology
Liver Cirrhosis - diagnosis
Liver Cirrhosis - pathology
Liver Function Tests
Liver Regeneration
Male
Middle Aged
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Summary:We describe the laparoscopic findings in 5 patients with nodular regenerative hyperplasia of the liver (NRH). A nodular liver surface and signs of portal hypertension were observed, which in all cases gave rise to the laparoscopic diagnosis of liver cirrhosis. Multiple and single liver biopsies in 3 and 2 cases respectively, permitted the definitive diagnosis of the NRH lesion. The laparoscopic picture of NRH is indistinguishable from that of cirrhosis, and for this reason it is advisable to carry out liver biopsy even in cases where cirrhosis seems unquestionable.
ISSN:0013-726X
DOI:10.1055/s-2007-1018472