Quote:
Originally Posted by ladyjane  Now I am really confused. Who diagnosed the shunt? |
The lab... from the biopsy... (post #43)
Microscopic finding: Two liver biopsy samples were rec'd and each bisected; all of the pieces were put into cassette and processed for histological exam. The liver tissue had several histological abnormalities. There were numerous iron granulomas scattered randonly in the parenchma. Iron granulomas are focal collections of iron-filled macrophages. The portal tracts were much closer together throughout this liver than in the normal liver (hepatic atrophy) the portal tracts did not contain any profile of the hepatic vein. Each portal tract contained one or more branches of the bile duct, one or more branches of the hepatic artery and one or more collapsed endotheilal lined channels but no obvious branch of the portal vein. Final diagnosis:
the histologocal changes in this liver are diagnostic of congenital portosystemic shunt.