Peliosis hepatis: 2 case reports of a rare liver disorder and its differential diagnosis

Peliosis hepatis (PH) is a rare tumor-like liver lesion composed of multiple blood-filled cavities within the liver parenchyma. It is hard to differentiate PH from other liver lesions by imaging, such as carcinoma, metastases, or abscess. Here, we reported 2 cases that presented with liver lesions u...

Full description

Saved in:
Bibliographic Details
Published in:Medicine (Baltimore) 2017-03, Vol.96 (13), p.e6471-e6471
Main Authors: Dai, Yi-Ning, Ren, Ze-Ze, Song, Wen-Yuan, Huang, Hai-Jun, Yang, Dan-Hong, Wang, Ming-Shan, Huang, Yi-Cheng, Chen, Mei-Juan, Zhang, Jia-Jie, Tong, Yong-Xi, Pan, Hong-Ying
Format: Article
Language:English
Subjects:
Clinical Case Report
Diagnosis, Differential
Female
Humans
Liver - pathology
Male
Middle Aged
Peliosis Hepatis - diagnostic imaging
Peliosis Hepatis - pathology
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Peliosis hepatis (PH) is a rare tumor-like liver lesion composed of multiple blood-filled cavities within the liver parenchyma. It is hard to differentiate PH from other liver lesions by imaging, such as carcinoma, metastases, or abscess. Here, we reported 2 cases that presented with liver lesions under ultrasound and computed tomography (CT) scanning, without any history of liver diseases or drug usage traced back. Liver biopsy and laparoscopy were processed, and the lesions were eventually diagnosed as PH by histopathology, which microscopically presented with multiple sinusoidal dilatations with blood-filled cystic spaces. After the liver biopsy or laparoscopy, the patients were discharged and followed up in the clinic. Both patients were followed up for at least 1 year with good recovery. PH should always be recognized in the differentiation of liver lesions, particularly indistinctive lesion(s) without any history of liver-related diseases.
ISSN:0025-7974
1536-5964
DOI:10.1097/MD.0000000000006471