The macroscopic and microscopic findings of a case of Zieve's syndrome are 
described (fatty liver, icterus, hyperlipemia and hemolytic anemia in chronic 
alcoholism). The outstanding macroscopic finding is milky turbidity of the blood 
in arterial and venous vascular channels as well as hepatomegaly and anaemia of 
internal organs. A prominent feature of the histological picture is the 
high-grade lipaemia of the large and small vessels (arteries and veins), 
capillary occlusions resembling fat embolism in all organs and severe diffuse 
fatty metamorphosis of the liver. Circulatory disorders and the cause of death 
are discussed.