月归档:二月 2011

Portal hypertension is splenomegaly门脉高压脾肿大

One of the most common findings with portal hypertension is splenomegaly, as seen here. The spleen is enlarged from the normal 300 grams or less to between 500 and 1000 gm. Another finding here is the irregular pale tan plaques … 继续阅读

发表在 未分类 | 留下评论

Esophageal varices 食道静脉曲张

A much more serious problem produced by portal hypertension results when submucosal veins in the esophagus become dilated. These are known as esophageal varices. Varices are seen here in the lower esophagus as linear blue dilated veins. There is hemorrhage … 继续阅读

发表在 未分类 | 留下评论

Liver cirrhosis patient’s abdomen performance 肝硬化病人的腹部表现

Portal hypertension results from the abnormal blood flow pattern in liver created by cirrhosis. The increased pressure is transmitted to collateral venous channels. Sometimes these venous collaterals are dilated. Seen here is “caput medusae” which consists of dilated veins seen … 继续阅读

发表在 未分类 | 留下评论

Typical for acute alcoholic hepatitis 典型的急性酒精性肝炎

Mallory’s hyaline is seen here, but there are also neutrophils, necrosis of hepatocytes, collagen deposition, and fatty change. These findings are typical for acute alcoholic hepatitis. Such inflammation can occur in a person with a history of alcoholism who goes … 继续阅读

发表在 未分类 | 留下评论

Chronic alcoholism liver damage 慢性酒精中毒肝损伤

At high magnification can be seen globular red hyaline material within hepatocytes. This is Mallory’s hyaline, also known as “alcoholic” hyaline because it is most often seen in conjunction with chronic alcoholism. The globules are aggregates of intermediate filaments in … 继续阅读

发表在 未分类 | 留下评论

Cirrhosis is seen along with moderate fatty change肝硬化伴中度脂肪变

Micronodular cirrhosis is seen along with moderate fatty change. Note the regenerative nodule surrounded by fibrous connective tissue extending between portal regions.

发表在 未分类 | 留下评论

Microscopically with cirrhosis 镜下肝硬化

Microscopically with cirrhosis, the regenerative nodules of hepatocytes are surrounded by fibrous connective tissue that bridges between portal tracts. Within this collagenous tissue are scattered lymphocytes as well as a proliferation of bile ducts.

发表在 未分类 | 留下评论

Liver with fatty change 肝脂肪变性

A close-up view of a micronodular cirrhosis in a liver with fatty change demonstrates the small, yellow nodules. Micronodular cirrhosis may also be seen with Wilson’s disease, primary biliary cirrhosis, and hemochromatosis.

发表在 未分类 | 留下评论

Micronodular cirrhosis 小结节型肝硬化

Here is another example of micronodular cirrhosis. Note that the liver also has a yellowish hue, indicating that fatty change (also caused by alcoholism) is present.

发表在 未分类 | 留下评论

Micronodular cirrhosis 小结节型肝硬化

This is an example of a micronodular cirrhosis. The regenerative nodules are quite small, averaging less than 3 mm in size. The most common cause for this is chronic alcoholism. The process of cirrhosis develops over many years.

发表在 未分类 | 留下评论