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CC BY-NC-ND 4.0 · Journal of Gastrointestinal and Abdominal Radiology 2019; 02(02): 126-129
DOI: 10.1055/s-0039-1692020
Case-in-Discussion
Indian Society of Gastrointestinal and Abdominal Radiology

Peliosis Hepatis—The Chameleon: An Unusual Presentation Mimicking Liver Abscess

Ruchi Rastogi
1   Department of Radiology, Max Super Speciality Hospital, New Delhi, India
,
Parveen Batra
1   Department of Radiology, Max Super Speciality Hospital, New Delhi, India
,
Subhash Gupta
1   Department of Radiology, Max Super Speciality Hospital, New Delhi, India
,
Anjali K. Gupta
1   Department of Radiology, Max Super Speciality Hospital, New Delhi, India
,
Bharat Aggarwal
1   Department of Radiology, Max Super Speciality Hospital, New Delhi, India
,
Shaleen Agarwal
1   Department of Radiology, Max Super Speciality Hospital, New Delhi, India
› Author Affiliations Funding None.
Further Information

Publication History

Received: 28 November 2018

Accepted after revision 26 March 2019

Publication Date:
31 July 2019 (online)

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Abstract

Peliosis hepatis is a rare vascular condition characterized by multiple randomly distributed blood-filled cavities throughout the liver, ranging in size from a few millimeters to several centimeters in diameter. The appearance of peliotic lesion on imaging varies depending on morphologic type, concomitant hemorrhagic component, and presence or absence of background hepatic steatosis. Here, we report an unusual presentation of peliosis hepatis as an exophytic mass arising in liver parenchyma, mimicking a liver abscess.

Keywords

peliosis hepatis - liver abscess - abdominal computed tomography - abdominal magnetic resonance imaging
 

  • References

  • 1 Yanoff M, Rawson AJ. Peliosis hepatis. An anatomic study with demonstration of two varieties. Arch Pathol 1964; 77: 159-165
    PubMedGoogle Scholar
  • 2 Tsokos M, Erbersdobler A. Pathology of peliosis. Forensic Sci Int 2005; 149 (01) 25-33
    CrossrefPubMedGoogle Scholar
  • 3 Wanless IR. Vascular disorders. In: MacSween RNM, Burt AD, Portmann BC, Ishak KG, Scheuer PJ, Anthony PP. eds. Pathology of the Liver. 4th ed.. Glasgow, UK: Churchill Living stone; 2002: 553-555
    Google Scholar
  • 4 Kim SH, Lee JM, Kim WH, Han JK, Lee JY, Choi BI. Focal peliosis hepatis as a mimicker of hepatic tumors: radiological-pathological correlation. J Comput Assist Tomogr 2007; 31 (01) 79-85
    CrossrefPubMedGoogle Scholar
  • 5 Kleinig P, Davies RP, Maddern G, Kew J. Peliosis hepatis: central “fast surge” ultrasound enhancement and multislice CT appearances. Clin Radiol 2003; 58 (12) 995-998
    CrossrefPubMedGoogle Scholar
  • 6 Iannaccone R, Federle MP, Brancatelli G. et al. Peliosis hepatis: spectrum of imaging findings. Am J Roentgenol 2006; 187 (01) W43-W52
    Google Scholar
  • 7 Battal B, Kocaoglu M, Atay AA, Bulakbasi N. Multifocal peliosis hepatis: MR and diffusion-weighted MR-imaging findings of an atypical case. Ups J Med Sci 2010; 115 (02) 153-156
    CrossrefPubMedGoogle Scholar
  • 8 Pliskin M. Peliosis hepatitis. Radiology 1975; 114 (01) 29-30
    CrossrefPubMedGoogle Scholar
  • 9 Ferrozzi F, Tognini G, Zuccoli G, Cademartiri F, Pavone P. Peliosis hepatis with pseudotumoral and hemorrhagic evolution: CT and MR findings. Abdom Imaging 2001; 26 (02) 197-199
    CrossrefPubMedGoogle Scholar
  • 10 Cohen GS, Ball DS, Boyd-Kranis R, Gembala RB, Wurzel J. Peliosis hepatis mimicking hepatic abscess: fatal outcome following percutaneous drainage. J Vasc Interv Radiol 1994; 5 (04) 643-645
    CrossrefPubMedGoogle Scholar