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

Int J Med Sci Public Health. 2014; 3(4): 522-524

doi: 10.5455/ijmsph.2014.160220142

Basavaraj Prabhappa Bommanahalli, Vidyavathi Kannar Kannar, Harendrakumar ML.

Abstract
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