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JOHN H. LAZZARI, M.D.; FRANK J. RACK, M.D.

AMA Arch Surg. 1951;62(2):295-298.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Interest in portal cirrhosis has been greatly stimulated by the recent advances in the nutritional aspects of the problem¹ and by the reports of Whipple,² Blakemore³ and Blalock⁴ establishing the feasibility of a direct attack on the abnormal pressure relationships between the portal and caval systems of veins in this condition.

Most cases of intrahepatic portal obstruction and portal hypertension represent instances of Laennec's cirrhosis. However, other conditions occasionally produce portal hypertension, and these include so-called postnecrotic cirrhosis,¹ cirrhosis secondary to the taking of drugs⁵ and syphilitic cirrhosis. The utilization of a portacaval anastomosis for portal hypertension resulting from this last condition, hepar lobatum, has not been previously reported. For this reason we present a case of hepar lobatum recently treated at this hospital by means of a portacaval anastomosis.

REPORT OF CASE

M. P., a 54 year old white woman, was transferred to . . . [Full Text PDF of this Article]

Author Affiliations
CLEVELAND

From the Department of Surgery of Cleveland City Hospital and the School of Medicine, Western Reserve University.

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