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Case Report



Hepatoportal sclerosis with Ischemic Bowel Disease: A rare case diagnosed by clinical autopsy

Basavaraj Prabhappa Bommanahalli, Vidyavathi Kannar Kannar, Harendrakumar ML.




Abstract
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A 35 year old female presented with pain abdomen, massive hemetemesis and signs of portal hypertension. Death occurred despite of all efforts to manage shock & hemetemesis by endoscopic sclerotherapy. Clinical autopsy revealed gangrene of small intestine with mesenteric vein thrombosis; oesophageal varices; hepatoportal sclerosis (HPS) of liver with regenerative nodules and chronic venous congestion of spleen. Histopathology of liver is essential for diagnosis of HPS & to rule out other disease process. Gangrene intestine in HPS is a rare presentation.

Key words: Hepatoportal sclerosis; Portal hypertension; Gangrene; Intestine






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