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Different locations of the bile pigment in the liver in the course of infectious hepatitis and its significance

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Summary

The significance of the different locations of the bile pigment in two cases of infectious hepatitis, with respectively 27 and 47 days evolution, were studied in the light and electron microscopes. In the first case, the pigment were located in the intercellular spaces along the direct Disse-bile canaliculus communications (D-BC). In the second case, owing to the copathology, that is associated with hepatotropic aggressions (alcoholism, denutrition, malaria in the past history), the liver cell was involved and its plasma membrane ruptured in places, so that large clusters of granular pigment could be observed in the cytoplasm. Changes in the shape and content of the intercellular spaces which form the D-BC are described in detail. The granular pigment deposition in the D-BC sometimes presents the aspect of ultramicrothrombi. The extracellular transfer of bilirubin is attested by the presence of pigment granules in the intercellular spaces without a tendency to diffuse within the cells as noted in the first case. As regards the mode of production of jaundice in some cases of cholestatic forms of epidemic hepatitis, evidence is brought to support an occlusive intrahepatic functional obstacle, the tight junction, at the site where the D-BC reaches the bile canaliculus.

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Author notes

  1. I. Pavel (Prof.)

    Present address: , Intrarea Carafeale No. 6, Bucarest 13, Roumanie

  2. H. Bonaparte Dr.

    Present address: Soseaua Stefan eel Mare, Bloc, 31, Sc. 1, Et. 7, Ap. 31, Bucarest, Sect. II, Roumanie

  3. Al. Petrovici Dr.

    Present address: , Str. 11 Iunie 5, Bucarest, Roumanie

Authors and Affiliations

  1. Clinique des Maladies de la Nutrition et Diététique, de l’Hopital Cantacuzino, Bucharest, Romania

    I. Pavel (Prof.), H. Bonaparte Dr. & Al. Petrovici Dr.

Authors
  1. I. Pavel
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  2. H. Bonaparte Dr.
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  3. Al. Petrovici Dr.
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Pavel, I., Bonaparte, H. & Petrovici, A. Different locations of the bile pigment in the liver in the course of infectious hepatitis and its significance. Gastroenterol Jpn 3, 239–244 (1968). https://doi.org/10.1007/BF02777386

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