Miranda Roberto, Stambuk Juan, Vial María Teresa, Miranda Andrés
Servicio de Radiología, Hospital Clínico de la Fuerza Aérea de Chile, Chile.
Rev Med Chil. 2010 Sep;138(9):1135-9. Epub 2010 Nov 9.
Peliosis hepatis is a rare vascular condition of the liver characterized by the presence of cystic blood-fi lled cavities distributed randomly throughout the liver parenchyma. We report a 46 year old female, with dyspepsia. An abdominal Doppler ultrasound showed a hyper vascularized solid liver nodule of 5 cm diameter. Magnetic resonance imaging and CT scan showed the same hyper vascularized nodule. With the possible diagnoses of primary hepatocellular carcinoma or focal nodular hyperplasia, the patient was subjected to an excision of hepatic segment VI, where the nodule was located. The pathological diagnosis of the surgical piece was a peliosis hepatis.
肝紫癜是一种罕见的肝脏血管疾病,其特征是在肝实质内随机分布着充满血液的囊性腔隙。我们报告一例46岁患有消化不良的女性患者。腹部多普勒超声显示一个直径5厘米的肝脏高血管化实性结节。磁共振成像和CT扫描显示了同一个高血管化结节。鉴于可能的诊断为原发性肝细胞癌或局灶性结节性增生,该患者接受了位于肝VI段的结节切除术。手术切除标本的病理诊断为肝紫癜。