Magwai M G, Andronikou S
Department of Radiology, University of the Witwatersrand, Johannesburg, South Africa.
S Afr J Surg. 2012 Jul 11;50(3):92. doi: 10.7196/sajs.1046.
Peliosis is a rare condition characterised by multiple cyst-like, blood-filled cavities within the parenchyma of solid organs, most commonly affecting the liver. Isolated splenic peliosis is an even more unusual phenomenon. Patients with AIDS may develop peliosis in association with bacillary angiomatosis. This is due to secondary infection with Bartonella henselae or a similar organism, Rochalimaea henselae.
A 45-year-old HIV-positive man on antiretroviral therapy presented with a left hypochodrial abdominal mass. Radiological and histopathological examination confirmed splenic peliosis.
紫癜是一种罕见病症，其特征为实性器官实质内出现多个囊肿样、充满血液的腔隙，最常累及肝脏。孤立性脾紫癜是一种更为罕见的现象。艾滋病患者可能会并发杆菌性血管瘤病而出现紫癜。这是由汉赛巴尔通体或类似病原体罗卡利马氏体汉赛亚种继发感染所致。
一名接受抗逆转录病毒治疗的45岁HIV阳性男性患者，出现左季肋部腹部肿块。影像学和组织病理学检查确诊为脾紫癜。
