Encefalopatía hepática crónica en paciente con cirrosis biliar primaria

Durán-Ferreras, Eduardo; Díaz-Narváez, Fernando; Raffo-Márquez, Miguel

doi:10.1016/j.gastrohep.2011.03.020

Cited by 5 publications

(1 citation statement)

References 25 publications

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“…This vacuolation showed a well defined pattern following a number of myelinated tracts in central nervous system white matter, in isolated fibres crossing grey matter in the brain stem, and along grey and white matter borders in the cerebrum and spinal cord. These histological findings were suggestive of hepatic encephalopathy, which is a complication that develops in a small percentage of human patients with chronic liver disease (Durán-Ferreras et al 2011). However, in the above mentioned case, it is difficult to distinguish whether the cause of the vacuolation was provoked by this process or related to agonal hypoxia.…”

Section: Resultsmentioning

confidence: 91%

Biliary cirrhosis caused by Campula spp. in a dolphin and four porpoises

Jaber

Pérez²,

Rotstein³

et al. 2013

Dis. Aquat. Org.

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Biliary cirrhosis produced by Campula spp. is described in 1 striped dolphin Stenella coeruleoalba and 4 harbour porpoises Phocoena phocoena. The hepatic lesions consisted of severe proliferation of fibrous connective tissue with loss of the lobular pattern, nodular regeneration of the hepatic tissue, bile duct hyperplasia and severe inflammatory infiltrate composed of eosinophils, macrophages, lymphocytes and plasma cells. These lesions were associated with severe infestation by Campula spp. Although inflammatory and degenerative hepatic lesions are frequently found in stranded dolphins, biliary cirrhosis has not been previously reported in cetaceans. Massive infestation by these parasites should be included as a cause of hepatic failure resulting in stranding of marine mammals.

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Section: Resultsmentioning

confidence: 91%