Congenital fibrosis of the liver: diagnostic possibilities of peritoneoscopy and splenoportography.
Congenital fibrosis of the liver can be tentatively diagnosed by direct-vision peritoneoscopy, and this diagnosis can be verified without difficulty by a liver puncture under peritoneoscopic control. In addition, peritoneoscopy makes it possible to determine portal pressure in the spleen under optical control of the puncture site, and to make a splenoportogram at minimum risk. The splenoportogram supplies information on the luminal width of the splenic and portal veins, which is important if a shunt operation is contemplated. Besides, information can be obtained on the extent of the collateral circulation, and the features of the portal branches in the liver can in turn corroborate the diagnosis.
D000293:Adolescent; D002648:Child; D006801:Humans; D010535:Laparoscopy; D008103:Liver Cirrhosis / Q000151:congenital* / Q000175:diagnosis / Q000000981:diagnostic imaging; D008297:Male; D011172:Portography