[Ischemic hepatitis. Clinico-pathological presentation of 2 cases].

Just before death, two female patients with congestive heart failure exhibited marked elevation of cytolytic hepatic enzymes, suggesting the diagnosis of viral hepatitis. Histologic examination of autopsy material led us to conclude in both cases on the presence of extensive and confluent ischemic centrizonal necrosis (shock liver). This picture probably reflected the consequences of liver perfusion failure. Ischemic hepatitis is the association of shock liver with marked elevation of transaminases.