中島 俊之, 宮本 築生, 中島 美智子, 亀田 千里, 伊藤 進

Toshiyuki NAKAJIMA, Tsukio MIYAMOTO, Michiko NAKAJIMA, Chisato KAMEDA, Susumu ITOH

埼玉医科大学第3内科

The Third Department of Internal Medicine, Saitama Medical School

キーワード : Fulminant hepatitis, Gallstone, Esophageal varices, Liver cirrhosis

A 31-year-old man admitted to our hospital was diagnosed as having of fulminant hepatitis(type A). Upon admission ultrasonography revealed a thickening of the gallbladder wall, the disappearance of gallbladder cavity, a uniform echo pattern of the parenchyma and no enlargement of the liver. Four months after admission, the thickness of the gallbladder wall improved, as did the irregularity of liver surface, the coarse echo pattern of the hepatic parenchyma and the gallstone. Histological findings on liver tissue samples revealed active stage of liver cirrhosis. And endscopic examination revealed esophageal varices [C_w, F₁, L_i RC-sign(-)]. Furthermore, over the course of disease, we observed that the Spleen Index gradually increased, while the portal blood flow volume decreased.