Imaging presentation and postoperative recurrence of peliosis hepatis: A case report  

作　　者：Si-Xie Ren Pan-Pan Li Hai-Peng Shi Jun-Hui Chen Zhen-Ping Deng Xi-E Zhang 

机构地区：[1]Department of Radiology,Chengdu Second People’s Hospital,Chengdu 610000,Sichuan Province,China [2]Pathology Center,Chengdu Second People’s Hospital,Chengdu 610000,Sichuan Province,China

出　　处：《World Journal of Clinical Cases》2021年第19期5197-5202,共6页世界临床病例杂志

摘　　要：BACKGROUND Peliosis hepatis(PH)is a rare benign lesion of vascular origin with a pathological characteristic of multiple blood-filled cavities in the liver parenchyma.It is commonly misdiagnosed due to its lack of specificity in clinical presentation and laboratory test results.Herein,a case of a patient with PH who was misdiagnosed with hepatic echinococcosis before operation to remove the lesions was analyzed,with an emphasis on the computed tomography and magnetic resonance imaging characteristics of PH.CASE SUMMARY We outline the case of a 40-year-old Chinese female who was admitted with aggravated abdominal pain with fever for 1 wk.Ultrasound examination at the local hospital indicated hepatic echinococcosis.However,discordance between imaging diagnosis,clinical history and laboratory examinations in our hospital.Subsequently,the patient was pathologically confirmed as having PH-like changes,which recurred 1 year after operation removal of the lesion.CONCLUSION Our objective is to highlight the imaging diagnostic value of PH.

关 键 词：Peliosis hepatis Computer tomography Magnetic resonance imaging RECURRENCE MISDIAGNOSIS Case report 

分 类 号：R657.3[医药卫生—外科学]