Medicine · 2025
Focal peliosis hepatis with undefined etiology:: Diagnostic elucidation via ultrasonography, CT, and MRI; case report with literature review.
СтатьяКлинический случайОбзорНазвание и аннотация: Перевод в очереди
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Geng Tingting, Gao Sumei, Kovalska Olena, Liu Zhijian
Аннотация
RATIONALE: Peliosis hepatis is an uncommon benign vascular disorder characterized by sinusoidal dilatation and multiple blood-filled cystic cavities within the hepatic parenchyma. Clinically, it is frequently asymptomatic and often detected incidentally. Its radiological manifestations are complex, highly variable, and lack specificity, leading to frequent misdiagnoses of primary hepatic tumors, metastatic lesions, or abscesses.
PATIENT CONCERNS: We present the case of a 23-year-old female who underwent ultrasound, computed tomography, and magnetic resonance imaging, revealing hepatic lesions. The patient had no history of liver disease or drug use.
DIAGNOSES: The diagnosis of peliosis hepatis was confirmed via histopathology.
INTERVENTIONS: laparoscopic partial hepatectomy was performed.
OUTCOMES: The patient recovered well during the outpatient follow-up.
LESSONS: Peliosis hepatis should always be recognized in the differentiation of liver lesions, especially in the presence of atypical imaging findings, without any history of liver-related diseases.
PATIENT CONCERNS: We present the case of a 23-year-old female who underwent ultrasound, computed tomography, and magnetic resonance imaging, revealing hepatic lesions. The patient had no history of liver disease or drug use.
DIAGNOSES: The diagnosis of peliosis hepatis was confirmed via histopathology.
INTERVENTIONS: laparoscopic partial hepatectomy was performed.
OUTCOMES: The patient recovered well during the outpatient follow-up.
LESSONS: Peliosis hepatis should always be recognized in the differentiation of liver lesions, especially in the presence of atypical imaging findings, without any history of liver-related diseases.