Ren SX, Li PP, Shi HP, Chen JH, Deng ZP, Zhang XE. Imaging presentation and postoperative recurrence of peliosis hepatis: A case report. World J Clin Cases 2021; 9(19): 5197-5202 [PMID: 34307567 DOI: 10.12998/wjcc.v9.i19.5197]
Corresponding Author of This Article
Jun-Hui Chen, MBBS, Chief Physician, Department of Radiology, Chengdu Second People’s Hospital, No.10 Qingyun South Street, Jinjiang district, Chengdu 610000, Sichuan Province, China. junhuichenjhc@126.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Si-Xie Ren, Pan-Pan Li, Jun-Hui Chen, Zhen-Ping Deng, Xi-E Zhang, Department of Radiology, Chengdu Second People’s Hospital, Chengdu 610000, Sichuan Province, China
Hai-Peng Shi, Pathology Center, Chengdu Second People’s Hospital, Chengdu 610000, Sichuan Province, China
Author contributions: Ren SX and Li PP reviewed the literature and contributed to manuscript drafting; Shi HP performed the pathological analyses and interpretation and contributed to manuscript drafting; Deng ZP and Zhang XE analyzed and interpreted the imaging findings; Chen JH and Deng ZP were responsible for revising the manuscript for important intellectual content; all authors provided final approval for the version to be submitted.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jun-Hui Chen, MBBS, Chief Physician, Department of Radiology, Chengdu Second People’s Hospital, No.10 Qingyun South Street, Jinjiang district, Chengdu 610000, Sichuan Province, China. junhuichenjhc@126.com
Received: December 7, 2020 Peer-review started: December 7, 2020 First decision: March 27, 2021 Revised: April 2, 2021 Accepted: May 20, 2021 Article in press: May 20, 2021 Published online: July 6, 2021 Processing time: 199 Days and 5.5 Hours
Abstract
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.
Core Tip: The imaging presentation of peliosis hepatis is complex and diverse, which does not correspond with the clinical history and laboratory examination. In this case, computed tomography and magnetic resonance imaging characteristics of peliosis hepatis were valuable that had been proven.
