Lorenz G
Dtsch Z Verdau Stoffwechselkr. 1979;39(5):226-33.
Among 137 non-selected liver tissue specimens of 101 infants between 1968 and 1978 six cases of extrahepatic biliary atresia were found. For the pathologist examining the liver cylinder the differential diagnosis between biliary atresia and neonatal hepatitis may be extemely difficult. Findings typical of extrahepatic biliary atresia, such as obstruction of portal tracts, cannot be observed before the 4th or 6th week. Formerly, biliary atresia was considered as a congenital deformity. However, under morphologic aspects a positive syntrophy or a causative relationship between neonatal hepatitis and biliary atresia can at present not be excluded.
在1968年至1978年间对101名婴儿的137份未经挑选的肝组织标本进行检查时,发现了6例肝外胆道闭锁病例。对于检查肝组织块的病理学家来说,肝外胆道闭锁与新生儿肝炎之间的鉴别诊断可能极其困难。肝外胆道闭锁的典型表现,如门静脉周围梗阻,在第4周或第6周之前是观察不到的。以前,胆道闭锁被认为是一种先天性畸形。然而,从形态学角度来看,目前不能排除新生儿肝炎与胆道闭锁之间存在正协同作用或因果关系。