Medicine · 2017
Peliosis hepatis: 2 case reports of a rare liver disorder and its differential diagnosis.
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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
Аннотация
RATIONALE: 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.
PATIENT CONCERNS: 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.
DIAGNOSES: 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.
INTERVENTIONS: After the liver biopsy or laparoscopy, the patients were discharged and followed up in the clinic.
OUTCOMES: Both patients were followed up for at least 1 year with good recovery.
LESSONS: PH should always be recognized in the differentiation of liver lesions, particularly indistinctive lesion(s) without any history of liver-related diseases.
PATIENT CONCERNS: 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.
DIAGNOSES: 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.
INTERVENTIONS: After the liver biopsy or laparoscopy, the patients were discharged and followed up in the clinic.
OUTCOMES: Both patients were followed up for at least 1 year with good recovery.
LESSONS: PH should always be recognized in the differentiation of liver lesions, particularly indistinctive lesion(s) without any history of liver-related diseases.