Work

Focal peliosis hepatis with undefined etiology:: Diagnostic elucidation via ultrasonography, CT, and MRI; case report with literature review

Year: 2025

Type: article

Abstract: 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.

Source: Medicine

DOI: 10.1097/md.0000000000044151

Authors: Tingting Geng, Sumei Gao, Olena Kovalska, Zhijian Liu

Institution: Weifang People's Hospital

Language: English

Topic: Vascular Malformations and Hemangiomas

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,950