Abstract
Peliosis hepatis is a rare vascular condition of the liver characterized by the presence of cystic blood-fi lled cavities distributed randomly throughout the liver parenchyma. We report a 46 year old female, with dyspepsia. An abdominal Doppler ultrasound showed a hyper vascularized solid liver nodule of 5 cm diameter. Magnetic resonance imaging and CT scan showed the same hyper vascularized nodule. With the possible diagnoses of primary hepatocellular carcinoma or focal nodular hyperplasia, the patient was subjected to an excision of hepatic segment VI, where the nodule was located. The pathological diagnosis of the surgical piece was a peliosis hepatis.
Highlights
Peliosis hepatis is a rare vascular condition of the liver characterized by the presence of cystic blood-filled cavities distributed randomly throughout the liver parenchyma
El nódulo es hipervascular (a) con un halo hipodenso, que muestra refuerzo homogéneo en fase tardía (b)
Computed tomography of fatal hepatic rupture due to peliosis hepatis
Summary
Peliosis hepatis is a rare vascular condition of the liver characterized by the presence of cystic blood-filled cavities distributed randomly throughout the liver parenchyma. An abdominal Doppler ultrasound showed a hyper vascularized solid liver nodule of 5 cm diameter. Magnetic resonance imaging and CT scan showed the same hyper vascularized nodule. With the possible diagnoses of primary hepatocellular carcinoma or focal nodular hyperplasia, the patient was subjected to an excision of hepatic segment VI, where the nodule was located. The pathological diagnosis of the surgical piece was a peliosis hepatis. La peliosis hepática (peliosis hepatis) es una enfermedad vascular poco frecuente, caracterizada por nódulos hepáticos únicos o múltiples, constituidos por sinusoides dilatados y múltiples espacios lacunares llenos de sangre. Se presenta un caso de peliosis hepática demostrada con histología
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