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Liver Transplantation in a Patient With Clinical Manifestations of Cryptogenic Cirrhosis: A Case Report of Hepar Lobatum as a Primary Liver Condition
Authors:J.F.L. Bonfitto  T.J.A.P. Mattosinho  I. Neves  E.C. Ataide  I.F.S.F. Boin  R.S.B. Stucchi  D.L. Martins  C.A.F. Escanhoela
Affiliation:1. Department of Pathology, State University of Campinas, Sao Paulo, Brazil;2. Unit of Liver Transplantation, State University of Campinas, Sao Paulo, Brazil;3. Department of Radiology, State University of Campinas, Sao Paulo, Brazil;4. Department of Internal Medicine, Faculty of Medical Sciences, State University of Campinas, Sao Paulo, Brazil
Abstract:

Background

This article reports a case of hepar lobatum, a peculiar and rare type of liver deformity, originally described in association with infectious or parasitic diseases and with malignancies.

Case Report

We have described a 42-year-old woman with this disorder, which was unrelated to the known conditions and referred for liver transplantation for having clinical manifestations of cirrhosis, portal hypertension, and impaired hepatic function.

Conclusions

The observed histologic pattern suggests that hepar lobatum could be, in some patients, the effect of a primary process of hamartomatous origin involving the organ vascular supply.
Keywords:
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