31 Mar Rationale: Peliosis hepatis (PH) is a rare tumor-like liver lesion composed of multiple blood-filled cavities within the liver parenchyma. It is hard. 21 Jan Liver and intrahepatic bile ducts – nontumor – Peliosis hepatis. ABSTRACT: OBJECTIVE. It is important to recognize the imaging characteristics of peliosis hepatis because peliotic lesions may mimic several different types of.
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Articles from Medicine are provided here courtesy of Wolters Kluwer Health. Mexico, USA; Length of sample size 1.
Check for errors and try again. The level of carbohydrate antigen CA was normal, but carcinoembryonic antigen CEA concentration was elevated to 5. If focal and haemorrhagic, resection may also be beneficial 1. Alcohol binging causes peliosis hepatis during azathioprine. Blood lakes of various sizes within the liver, which may be continuous In “phlebectatic” subtype, spaces are lined by endothelium and central veins are dilated In “parenchymal” subtype, spaces are not lined and parenchyma has variable hemorrhagic necrosis Arch Pathol ; Sign up for our Email Peiosis.
Board review ehpatica 1. Click here for patient related inquiries. In rare circumstances partial resection of liver or transplant may be required. Nevertheless, lesions were somewhat poorly defined. Proctitis Radiation proctitis Proctalgia fugax Rectal prolapse Anismus. To approach to the nature of the multiple intrahepatic lesions, the patient underwent another liver contrast-enhanced CT and magnetic resonance cholangiopancreatography MRCP.
Ulus Travma Acil Cerrahi Derg ; This website is intended for pathologists and laboratory personnel, who understand that medical information is imperfect and must be interpreted using reasonable medical judgment. Future Microbiol ; 5: Peliosis hepatis disseminated rapidly throughout the liver in a patient with prostate cancer: There is no mass effect on neighbouring hepatic vessels 6.
In summary, although PH is a rare disease, it should always be kept in mind for the differential diagnosis in newly discovered liver lesions.
Hepatic peliosis bacillary angiomatosis in AIDS: Which of the following other conditions did the patient likely have? Enhancement may be uniform or peripheral or irregular, but in contrast to cavernous hemangiomait is usually continuous. Peliosis hepatis due to disseminated tuberculosis in a patient with AIDS.
A Arterial phase of contrast-enhanced computed tomography CT in Case 1; B Portal phase of contrast-enhanced CT showed the lesion arrows with heterogeneous enhancement, but the lesions were somewhat poorly defined; C Magnetic resonance cholangiopancreatography MRCP in case 1 showed hepatosplenomegaly on T2 weight.
Medical record showed no history of viral hepatitis or bacterial infections in the liver. Finally, after the signing of a written informed consent, an ultrasound-guided liver biopsy was performed.
Pathology Outlines – Peliosis hepatis
The size of lesions peliosks from a few pelioiss to several centimeters, and even occupied most part hepstica liver. Cutaneous ciliated cyst Hidrocystoma no epithelium: Support Radiopaedia and see fewer ads. The pathogenesis of peliosis hepatis is unknown. Discussion As an uncommon benign vascular disease, PH is usually asymptomatic. Moreover, PH has been recognized to be concomitant with HCC [ 14 ] and hematological malignancies [ 15 ] in some cases.
PH often presented asymptomatically like the patient in case 2. From Wikipedia, the free encyclopedia. The pathogenesis remains uncertain, with possible aetiologies including the breakdown of the sinusoidal borders, hepatic outflow obstruction and dilatation of the central vein of the hepatic lobule.
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Peliosis hepatis: 2 case reports of a rare liver disorder and its differential diagnosis
An upper abdominal contrast-enhanced computed tomography CT scanning at the local hospital identified an incrassate and dropsical gallbladder wall, by which an acute episode of chronic cholecystitis was diagnosed initially. This benign liver lesion is difficult to differentiate from other hepatic mass or malignancy by medical history taking, routine laboratory tests, or imaging.
Pseudocyst of the auricle Mucocele other and ungrouped: Mild fatty liver and hepatosplenomegaly with several lower-density lesions were found Fig. Thrombocytopenia was identified with a platelet count of 6. The results of physical examination and laboratory tests were normal, except for an increase of CEA level from 6.
Withdrawal of causative drug, if applicable Erythromycin or doxycycline for Bartonella infections.
T1 OP Case 2: J Med Case Rep ; 9: The pathogenesis of PH remains unclear. Published by Wolters Kluwer Health, Inc.
Find articles by Ze-Ze Ren. Typical PH with mild hepatic fibrosis was recognized by histopathology Fig. Focal lesions may demonstrate central areas of haemorrhage.
Hydatid cyst Von Hippel—Lindau disease Tuberous sclerosis. Reported data showed that PH might be associated with numerous causes, peliosiw as cytotoxic drug, gamma-ray, bacterial or viral infection, immunodeficiency, and so on. Liver histology in case 2. The patient had no history of liver disease, tumor, or any drug-taken.