Testa Giuliano, Panaro Fabrizio, Sankary Howard, Chejfec Gregorio, Mohanty Smruti, Benedetti Enrico, Layden Thomas
University of Illinois at Chicago, Chicago, IL, USA.
J Gastroenterol Hepatol. 2006 Jun;21(6):1075-7. doi: 10.1111/j.1440-1746.2006.03172.x.
Peliosis hepatis is a rare benign condition histologically characterized by multiple cystic blood-filled spaces distributed throughout the liver parenchyma. Peliosis hepatis has been associated with malignancies, immunosuppression, infections and medications. We report a case of peliosis hepatis in a candidate for living liver donation, which regressed with restitutio ad integrum, after the noxious stimulus was stopped. We conclude that after diagnosis of peliosis hepatis is established and its cause is removed, simple radiographic imaging is sufficient to document the restitutio ad integrum of the parenchyma, avoiding repeat histological confirmation.
肝紫癜是一种罕见的良性疾病，组织学特征为多个充满血液的囊性间隙分布于整个肝实质。肝紫癜与恶性肿瘤、免疫抑制、感染及药物有关。我们报告一例活体肝供体候选者发生肝紫癜的病例，在停止有害刺激后，肝紫癜完全恢复。我们得出结论，在确诊肝紫癜并去除其病因后，简单的影像学检查足以记录肝实质的完全恢复，无需重复组织学确认。
