Korean J Hepatobiliary Pancreat Surg.
2000 Feb;4(1):173-177.
Peliosis Hepatis associated with Intrahepatic Cholangiocarcinoma
- Affiliations
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- 1Department of Surgery, Wonkwang University School of Medicine, Iksan, Korea.
- 2Department of Radiology, Wonkwang University School of Medicine, Iksan, Korea.
- 3Department of Surgical Pathology, Wonkwang University School of Medicine, Iksan, Korea.
Abstract
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Peliosis hepatis is an uncommon liver condition involving abnormal dilation of hepatic sinusoids, eventually leading to blood-filled cavities within the hepatic parenchyma. Although the pathogenesis is not understood fully, peliosis hepatis has usually been associated with the use of anabolic steroid therapy, oral contraceptives, various malignancies or tuberculosis. We report a case of 59-year-old patient with cholangiocarcinoma with peliosis hepatis. The patient was admitted for evaluation of abdominal pain and fever. Abdomen CT showed a round cytic and solid mass with peripheral duct dilatation in liver. Grossly, the spongy-like solid mass and cyst was noted. Microscopically, the solid mass was composed of tubular and solid adenocarcinoma in fibrotic stroma and a blood-filled cavity with dilated sinusoids was noted.