Routes of resorption of peritoneal fluid in the diaphragm in liver cirrhosis (morphologic study)
Khoroshaev, V.A.; Vorozheĭkin, V.M.; Baĭbekov, I.M.
Arkhiv Patologii 53(3): 40-44
1991
ISSN/ISBN: 0004-1955 PMID: 1854276 Document Number: 372145
The diaphragm peritoneum from 12 operated patients and 34 patients who died from liver cirrhosis with or without ascites was studied by means of light microscopy and electron transmission and scanning microscopy. Considerable lesions are found in the peritoneum: cuboidization of mesothelial cells, basal membrane thickening, dilation of stomata, lymphatic lacunae and collectors lumina. Liver cirrhosis with ascites is frequently followed by lymphatic vessels thrombosis and firm attachment of the diaphragm to the liver resulting in the inhibition of the ascitic liquid elimination. Thus both the enhancement of liquid transudation into the abdominal cavity and the disturbance of the drainage function of the diaphragm peritoneum take place.