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Case Reports
. 2017 Sep;3(3):176-179.
doi: 10.5114/ceh.2017.70299. Epub 2017 Sep 25.

Congenital hepatic fibrosis in a 9-year-old female patient - a case report

Affiliations
Case Reports

Congenital hepatic fibrosis in a 9-year-old female patient - a case report

Kamil Janowski et al. Clin Exp Hepatol. 2017 Sep.

Abstract

Congenital hepatic fibrosis (CHF) is a rare, autosomal recessive disorder, clinically characterized by hepatic fibrosis and portal hypertension. CHF results from ductal plate malformation (DPM) of the intrahepatic bile ducts. Four clinical forms can be observed: portal hypertensive, cholangitic, mixed and latent. CHF is one of the "fibropolycystic diseases" which also include several conditions with a variety of intrahepatic bile duct dilatation and associated periportal fibrosis such as Caroli disease, autosomal recessive and dominant polycystic kidney disease (ARPKD or ADPKD), Ivemark, Jeune, Joubert, Bardet-Biedl, Meckel-Gruber and Arima syndromes. Most of them are accompanied by progressive cystic degeneration of the kidneys. We present the case of a 9-year-old female patient with CHF with nonspecific clinical manifestation and a review of the literature.

Keywords: congenital hepatic fibrosis; ductal plate malformation; esophageal varices; portal hypertension.

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Figures

Fig. 1
Fig. 1
Periportal fibrosis and sclerosis, proliferation of bile ducts lined by cuboidal epithelial cells. Two central veins remain intact, without signs of central fibrosis. H&E, 200x

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