Liver haematoma as a presentation of peliosis hepatis

BMJ Case Rep. 2019 Feb 22;12(2):e226737. doi: 10.1136/bcr-2018-226737.

Abstract

Peliosis hepatis (PH) is an uncommon, benign hepatic vascular condition involving liver lesions consisting of dilated sinusoidal spaces that ultimately lead to numerous blood-filled cavities within the liver parenchyma. We detail the case of a 62-year-old woman who presented with a large hepatic haematoma resulting from intracystic haemorrhage. She was subsequently diagnosed with PH via arteriogram. Her symptoms were successfully treated surgically with open fenestration. Patient's postoperative course was unremarkable, with no recurrence of symptoms to date.

Keywords: gastrointestinal system; gi bleeding; liver disease.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Pain / diagnostic imaging*
  • Abdominal Pain / etiology
  • Anemia / diagnosis
  • Anemia / therapy*
  • Blood Transfusion
  • Female
  • Humans
  • Liver / diagnostic imaging
  • Liver / pathology*
  • Middle Aged
  • Peliosis Hepatis / diagnosis*
  • Peliosis Hepatis / physiopathology
  • Peliosis Hepatis / surgery
  • Radiography, Abdominal
  • Treatment Outcome
  • Vascular Surgical Procedures