Abstract
Two cases of heatstroke occurring simultaneously with biochemical features resembling viral hepatitis are presented. Histologic changes are documented in a sequential manner up to the period of one year. Severe centrilobular zonal necrosis, marked hydropic swelling, and extensive cholestasis with leucocytic “cholangiolitis” were striking features. The similarity to viral hepatitis with confluent necrosis is noted. There was complete recovery, and the hepatic lesions disappeared in both patients. “Cholangiolitis” has hitherto not been reported in heatstroke.
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