Korean J Radiol.  2007 Feb;8(1):64-69. 10.3348/kjr.2007.8.1.64.

Peliosis Hepatis with Hemorrhagic Necrosis and Rupture: a Case Report with Emphasis on the Multi-Detector CT Findings

• Kim EA
• Yoon KH
• Jeon SJ
• Cai QY
• Lee YW
• Yoon SE
• Yoon KJ
• Juhng SK

• KMID: 753867
• DOI: http://doi.org/10.3348/kjr.2007.8.1.64

Abstract

We report here on an uncommon case of peliosis hepatis with hemorrhagic necrosis that was complicated by massive intrahepatic bleeding and rupture, and treated by emergent right lobectomy. We demonstrate the imaging findings, with emphasis on the triphasic, contrast-enhanced multidetector CT findings, as well as reporting the clinical outcome in a case of peliosis hepatis with fatal hemorrhage.

Keyword

Liver, CT; Liver, diseases; Peliosis hepatis; Hemorrhage

MeSH Terms

Tomography, X-Ray Computed/*methods
Rupture
Peliosis Hepatis/complications/*radiography/surgery
Necrosis
Humans
Hemorrhage/etiology/*radiography/surgery
Female
Adult

Reference

1. Zak FG. Peliosis hepatis. Am J Pathol. 1950. 26:1–15.

2. Wang SJ, Ruggles S, Vade A, Newman BM, Borge MA. Hepatic rupture caused by peliosis hepatis. J Pediatr Surg. 2001. 36:1456–1459.

3. Fidelman N, LaBerge JM, Kerlan RK Jr. SCVIR 2002 film panel case 4: massive intraperitoneal hemorrhage caused by peliosis hepatis. J Vasc Interv Radiol. 2002. 13:542–545.

4. Pliskin M. Peliosis hepatis. Radiology. 1975. 114:29–30.

5. Kleinig P, Davies RP, Maddern G, Kew J. Peliosis hepatis: central "fast surge" ultrasound enhancement and multislice CT appearances. Clin Radiol. 2003. 58:995–998.

6. Savastano S, San Bortolo O, Velo E, Rettore C, Altavilla G. Pseudotumoral appearance of peliosis hepatis. AJR Am J Roentgenol. 2005. 185:558–559.

7. Gouya H, Vignaux O, Legmann P, de Pigneux G, Bonnin A. Peliosis hepatis: triphasic helical CT and dynamic MRI findings. Abdom Imaging. 2001. 26:507–509.

8. Steinke K, Terraciano L, Wiesner W. Unusual cross-sectional imaging findings in hepatic peliosis. Eur Radiol. 2003. 13:1916–1919.

9. Vignaux O, Legmann P, de Pinieux G, Chaussade S, Spaulding C, Couturier D, et al. Hemorrhagic necrosis due to peliosis hepatis: imaging findings and pathological correlation. Eur Radiol. 1999. 9:454–456.

10. Yanoff M, Rawson AJ. Peliosis hepatis. An anatomic study with demonstration of two varieties. Arch Pathol. 1964. 77:159–165.