[Encapsulating peri-hepatitis. Apropos of 4 cases].
The authors report 4 cases of encapsulating peri-hepatitis, including an angiographic study. Selective arteriography of the coeliac trunk showed extremely sinuous intra-hepatic arteries in 3 of these cases, and obstruction of the portal vein, in one case. Catheterisation of the hepatic veins showed a pressure gradient between the obstructed hepatic vein and the free supra-hepatic pressure, showing a post-sinusoidal block. In 2 of the 4 cases, ascites was chylous. Lymphography carried out via lymphatics in the foot was negative in 3 cases where it was carried out. One case showed, on two successive laparoscopies, that micro-nodular cirrhosis was present before the development of encapsulating peri-hepatitis.
D000328:Adult; D000368:Aged; D001201:Ascites / Q000209:etiology; D002445:Celiac Artery / Q000000981:diagnostic imaging; D005260:Female; D005500:Follow-Up Studies; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D006499:Hepatic Artery / Q000000981:diagnostic imaging; D006505:Hepatitis / Q000175:diagnosis; D006801:Humans; D006975:Hypertension, Portal / Q000209:etiology; D008103:Liver Cirrhosis / Q000150:complications / Q000175:diagnosis; D008107:Liver Diseases / Q000175:diagnosis / Q000209:etiology; D008297:Male; D008875:Middle Aged; D010538:Peritonitis / Q000175:diagnosis / Q000209:etiology; D014395:Peritonitis, Tuberculous / Q000150:complications; D011859:Radiography; D012598:Sclerosis
La périhépatite encapsulante. A propos de quatre observations