Summary
We report the laparoscopic findings in two previously healthy adults with chickenpox
and hepatic involvement. Both patients were admitted to hospital with severe upper
right quadrant abdominal pain coinciding with the skin rash. Liver function tests
were abnormal.
In case 1, round lesions with a necrotic center, 2 mm in diameter, in both hepatic
lobes were observed. Morphologically they resembled the rash on the skin. Numerous
granular lesions were also demonstrated. In case 2, laparoscopic examination was performed
recently when the cutaneous rash had faded. Granular images were scarce; there was
enlargement of the liver capsule with small depressed areas of pink color. These lesions
were considered similar to those found in case 1, although in a more advanced stage
of scarring and resolution. Both patients made a good recovery.
Key words:
Chickenpox - Varicella-zoster virus - Liver involvement - Laparoscopy
