More on hepatic granulomas

Diagnostic Pathology

Ilker Inanc Balkan¹  Mucahit Yemisen¹  Resat Ozaras¹ 

[1] Infectious Diseases Department, Cerrahpasa Medical School, Istanbul University, Cerrahpasa, TR-34098, Istanbul, Turkey

关键词: Chronic hepatitis;    Surgical staples;    Hepatic granuloma;   

Others  :  1233589
DOI  :  10.1186/s13000-015-0442-6

 received in 2015-09-08, accepted in 2015-11-12,  发布年份 2015

【 摘 要 】

We have read the case report of Nihon-Yanagi et al. The patient they described developed hepatic granuloma two times and the granulomatous lesion was surrounding metal staples/clips suggesting that the granuloma was due to surgical staples/clips.

Hepatic granulomas (HGs) are reported in around 5 % of patient who undergo a liver biopsy and caused by several diseases including sarcoidosis, tuberculosis, hydatid cyst, brucellosis, typhoid fever, chronic hepatitis B and C and primary biliary cirrhosis (PBC). Chronic hepatitis B and C infections are the most common and serious causes of liver damage in patient with renal failure. Their prevalence is a higher than people without renal failure. We have previously reported that the prevalences of HGs in patients with chronic hepatitis B and C are 1.5 and 1.3 % respectively. The described patient was on hemodialysis for 12 years. The other causes of HG seem excluded; however hepatitis B and C infections and PBC should have been tested and excluded before ascribing the HGs to surgical staples/clipping material.

【 授权许可】

   
2015 Ozaras et al.

【 参考文献 】

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