Open AccessA LIGHT AND SCANNING ELECTRON MICROSCOPIC STUDY OF HEPATIC VENO‐OCCLUSIVE DISEASE
Author(s) -
Shirai Mutsunori,
Nagashima Kazuo,
Iwasaki Shigeru,
Mori Wataru
Publication year - 1987
Publication title -
acta patholigica japonica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.73
H-Index - 74
ISSN - 0001-6632
DOI - 10.1111/j.1440-1827.1987.tb03310.x
Subject(s) - pathology , fibrin , occlusion , hepatic veins , thrombus , scanning electron microscope , autopsy , medicine , sinusoid , histology , hepatic veno occlusive disease , thickening , anatomy , chemistry , portal vein , radiology , disease , materials science , cardiology , polymer science , immunology , composite material , hematopoietic stem cell transplantation
Hepatic veno‐occlusive disease, which was observed in a patient with hepatic coma, was examined by scanning electron microscopy (SEM), and correlated with its histology. Postmortem examination disclosed microscopic occlusion of the centrilobular and sublobular veins in the liver. These veins were occluded, partially or completely, by intimal and medial thickening of their walls due to proliferation of collagen and reticulin fibers. In addition to venous obliteration, which had not been demonstrated by other techniques, frequent occlusion of the sinusoidal opening into the central veins was observed by SEM. The size and distribution of the openings were irregular in comparison with those in normal controls. There was no evidence of fibrin thrombus formation in the veins. This case exemplified the usefulness of the application of SEM to autopsy material.