Diagnostic Usefulness of Laparoscopy in a Case of HBV Carrier with Autoimmune Hepatitis

Fusao Ikeda, Kazuhide Yamamoto, Shin Ichi Fujioka, Ryoichi Okamoto, Kozo Ujike, Masanobu Miyake, Kazuhisa Yabushita, Manabi Miyashita, Noriaki Shimada, Hiroyuki Kono, Takao Tsuji

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

We reported a case of HBV carrier with autoimmune hepatitis (AIH), in whom laparoscopy was useful in the diagnosis of AIH. A 39-year-old woman was referred to our hospital for further examination of the liver. Her liver function tests showed abnormal and HBsAg and HbeAb were positive in her laboratory data. Liver biopsy showed chronic active hepatitis. At first, she was suspected to have chronic hepatitis B due to mutant HBV and treated with strong neominophagen C. In spite of the treatment, her liver function tests fluctuated. Overlapping of AIH was suspected because of positive results for antinuclear antibody (1: 320). Laparoscopy revealed coarse undulation and wide depression, which are typical findings for AIH. Indocyanine green injection showed high uptake of the dye in elevated regions. She was diagnosed to have AIH in a HBV carrier and treated with corticosteroids. Her liver function tests normalized and no reactivation of HBV has been observed. Laparoscopy was useful in the differential diagnosis between AIH and chronic viral hepatitis B.

Original languageEnglish
Pages (from-to)2086-2090
Number of pages5
JournalGastroenterological Endoscopy
Volume41
Issue number9
Publication statusPublished - Sep 1999
Externally publishedYes

Fingerprint

Autoimmune Hepatitis
Laparoscopy
Liver Function Tests
Chronic Hepatitis B
Indocyanine Green
Liver
Antinuclear Antibodies
Chronic Hepatitis
Hepatitis B Surface Antigens
Adrenal Cortex Hormones
Differential Diagnosis
Coloring Agents
Biopsy
Injections

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Ikeda, F., Yamamoto, K., Fujioka, S. I., Okamoto, R., Ujike, K., Miyake, M., ... Tsuji, T. (1999). Diagnostic Usefulness of Laparoscopy in a Case of HBV Carrier with Autoimmune Hepatitis. Gastroenterological Endoscopy, 41(9), 2086-2090.

Diagnostic Usefulness of Laparoscopy in a Case of HBV Carrier with Autoimmune Hepatitis. / Ikeda, Fusao; Yamamoto, Kazuhide; Fujioka, Shin Ichi; Okamoto, Ryoichi; Ujike, Kozo; Miyake, Masanobu; Yabushita, Kazuhisa; Miyashita, Manabi; Shimada, Noriaki; Kono, Hiroyuki; Tsuji, Takao.

In: Gastroenterological Endoscopy, Vol. 41, No. 9, 09.1999, p. 2086-2090.

Research output: Contribution to journalArticle

Ikeda, F, Yamamoto, K, Fujioka, SI, Okamoto, R, Ujike, K, Miyake, M, Yabushita, K, Miyashita, M, Shimada, N, Kono, H & Tsuji, T 1999, 'Diagnostic Usefulness of Laparoscopy in a Case of HBV Carrier with Autoimmune Hepatitis', Gastroenterological Endoscopy, vol. 41, no. 9, pp. 2086-2090.
Ikeda F, Yamamoto K, Fujioka SI, Okamoto R, Ujike K, Miyake M et al. Diagnostic Usefulness of Laparoscopy in a Case of HBV Carrier with Autoimmune Hepatitis. Gastroenterological Endoscopy. 1999 Sep;41(9):2086-2090.
Ikeda, Fusao ; Yamamoto, Kazuhide ; Fujioka, Shin Ichi ; Okamoto, Ryoichi ; Ujike, Kozo ; Miyake, Masanobu ; Yabushita, Kazuhisa ; Miyashita, Manabi ; Shimada, Noriaki ; Kono, Hiroyuki ; Tsuji, Takao. / Diagnostic Usefulness of Laparoscopy in a Case of HBV Carrier with Autoimmune Hepatitis. In: Gastroenterological Endoscopy. 1999 ; Vol. 41, No. 9. pp. 2086-2090.
@article{e3a4d5cd08144ccdbe755e3d9cf2e52c,
title = "Diagnostic Usefulness of Laparoscopy in a Case of HBV Carrier with Autoimmune Hepatitis",
abstract = "We reported a case of HBV carrier with autoimmune hepatitis (AIH), in whom laparoscopy was useful in the diagnosis of AIH. A 39-year-old woman was referred to our hospital for further examination of the liver. Her liver function tests showed abnormal and HBsAg and HbeAb were positive in her laboratory data. Liver biopsy showed chronic active hepatitis. At first, she was suspected to have chronic hepatitis B due to mutant HBV and treated with strong neominophagen C. In spite of the treatment, her liver function tests fluctuated. Overlapping of AIH was suspected because of positive results for antinuclear antibody (1: 320). Laparoscopy revealed coarse undulation and wide depression, which are typical findings for AIH. Indocyanine green injection showed high uptake of the dye in elevated regions. She was diagnosed to have AIH in a HBV carrier and treated with corticosteroids. Her liver function tests normalized and no reactivation of HBV has been observed. Laparoscopy was useful in the differential diagnosis between AIH and chronic viral hepatitis B.",
author = "Fusao Ikeda and Kazuhide Yamamoto and Fujioka, {Shin Ichi} and Ryoichi Okamoto and Kozo Ujike and Masanobu Miyake and Kazuhisa Yabushita and Manabi Miyashita and Noriaki Shimada and Hiroyuki Kono and Takao Tsuji",
year = "1999",
month = "9",
language = "English",
volume = "41",
pages = "2086--2090",
journal = "Gastroenterological Endoscopy",
issn = "0387-1207",
publisher = "Japan Gastroenterological Endoscopy Society",
number = "9",

}

TY - JOUR

T1 - Diagnostic Usefulness of Laparoscopy in a Case of HBV Carrier with Autoimmune Hepatitis

AU - Ikeda, Fusao

AU - Yamamoto, Kazuhide

AU - Fujioka, Shin Ichi

AU - Okamoto, Ryoichi

AU - Ujike, Kozo

AU - Miyake, Masanobu

AU - Yabushita, Kazuhisa

AU - Miyashita, Manabi

AU - Shimada, Noriaki

AU - Kono, Hiroyuki

AU - Tsuji, Takao

PY - 1999/9

Y1 - 1999/9

N2 - We reported a case of HBV carrier with autoimmune hepatitis (AIH), in whom laparoscopy was useful in the diagnosis of AIH. A 39-year-old woman was referred to our hospital for further examination of the liver. Her liver function tests showed abnormal and HBsAg and HbeAb were positive in her laboratory data. Liver biopsy showed chronic active hepatitis. At first, she was suspected to have chronic hepatitis B due to mutant HBV and treated with strong neominophagen C. In spite of the treatment, her liver function tests fluctuated. Overlapping of AIH was suspected because of positive results for antinuclear antibody (1: 320). Laparoscopy revealed coarse undulation and wide depression, which are typical findings for AIH. Indocyanine green injection showed high uptake of the dye in elevated regions. She was diagnosed to have AIH in a HBV carrier and treated with corticosteroids. Her liver function tests normalized and no reactivation of HBV has been observed. Laparoscopy was useful in the differential diagnosis between AIH and chronic viral hepatitis B.

AB - We reported a case of HBV carrier with autoimmune hepatitis (AIH), in whom laparoscopy was useful in the diagnosis of AIH. A 39-year-old woman was referred to our hospital for further examination of the liver. Her liver function tests showed abnormal and HBsAg and HbeAb were positive in her laboratory data. Liver biopsy showed chronic active hepatitis. At first, she was suspected to have chronic hepatitis B due to mutant HBV and treated with strong neominophagen C. In spite of the treatment, her liver function tests fluctuated. Overlapping of AIH was suspected because of positive results for antinuclear antibody (1: 320). Laparoscopy revealed coarse undulation and wide depression, which are typical findings for AIH. Indocyanine green injection showed high uptake of the dye in elevated regions. She was diagnosed to have AIH in a HBV carrier and treated with corticosteroids. Her liver function tests normalized and no reactivation of HBV has been observed. Laparoscopy was useful in the differential diagnosis between AIH and chronic viral hepatitis B.

UR - http://www.scopus.com/inward/record.url?scp=0347090751&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0347090751&partnerID=8YFLogxK

M3 - Article

AN - SCOPUS:0347090751

VL - 41

SP - 2086

EP - 2090

JO - Gastroenterological Endoscopy

JF - Gastroenterological Endoscopy

SN - 0387-1207

IS - 9

ER -