Laparoscopic findings of liver cirrhosis

liver411

Digestive Endoscopy
Volume 15 Issue 4 Page 348  - October 2003
doi:10.1046/j.1443-1661.2003.00292.x


Case Report
Laparoscopic findings of liver cirrhosis due to non-alcoholic
steatohepatitis

Teruki Miyake*, Kojiro Michitaka, Masanori Abe*, Ichiro Konishi*, Yoshio
Tokumoto*, Teru Kumagi*, Seiji Nakanishi*, Hisaka Minami*, Hidetaka Matsui*,
Bunzo Matsuura*, Norio Horiike*, and Morikazu Onji*,
A 42-year-old Japanese man was admitted to our hospital for investigation of
abnormal liver function tests. He had no history of drug use, and drank
little alcohol. Body mass index was 30. Serum was negative for viral markers
and autoantibodies. Laparoscopy revealed diffuse small nodules on the liver
surface. Liver biopsy revealed small nodules with pericellular fibrosis and
macrovesicular fat deposition throughout the acini. Some inflammatory
changes were observed. Liver cirrhosis due to non-alcoholic steatohepatitis
(NASH) was diagnosed. NASH displays similar histological and laparoscopic
characteristics to alcoholic liver diseases.