[Treatment of acute viral hepatitis with cortisone].

The indications for cortisone administration as well as of its derivatives in the treatment of viral hepatitis (VH) have been discussed on the base of personal experience and literature data. It has been concluded that cortisone has lost its role in the treatment of VH because of its numerous negative effects, recurrences, steroid diabetes, ulcers, hemorrhages, liability to infections, and most important--the liability to chronification and long-term carriership in VHB. Manifested intoxication phenomena and impeding and present endogenic hepatic coma, remain for the present, the main indications for cortisone treatment in VH.

[Case of bile duct anomalies and cholelithiasis].

A case is reported with a rare anomaly of biliary ducts--lengthened hepatic ducts, that are connected right above papilla of Vater--established by endoscopic retrograde cholangiography and confirmed at operation. The patient was twice operated on the occasion of cholelithiasis: cholecystectomy was performed with the first operation, the gall bladder being connected to the right hepatic duct, but the second biliary duct was not established. The other biliary duct--the left hepatic duct was obstructed by a calculus and dilated, established at the second operation.

[Diagnostic problems of viral hepatitis].

The diagnosis of viral hepatitis was not confirmed in 2976 (22.79%) out of the admitted to the hospital patients for a period of 15 years. What impresses is the percentage growth for the last several years, reaching to 30.