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Rare disease
CASE REPORT
Liver haematoma as a presentation of peliosis hepatis
  1. Yatee A Dave1,
  2. Alisha Gupta2,
  3. Mihir M Shah3 and
  4. Darren Carpizo3
  1. 1 Rutgers Robert Wood Johnson Medical School New Brunswick, Piscataway, New Jersey, USA
  2. 2 Division of General Internal Medicine and Geriatrics, Northwestern University, Chicago, Illinois, USA
  3. 3 Division of Surgical Oncology, Rutgers Cancer Institute of New Jersey, New Brunswick, New Jersey, USA
  1. Correspondence to Dr Darren Carpizo, carpizdr{at}cinj.rutgers.edu

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.

  • gastrointestinal system
  • gi bleeding
  • liver disease

https://doi.org/10.1136/bcr-2018-226737

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    Footnotes

    • Contributors AG and MMS conceived of the report idea. AG, MMS, and DC were involved in the management of the patient discussed in the case. YAD wrote the manuscript, with critical revision by AG and MMS. DC supervised the project and was involved in all aspects of the project. All authors provided critical feedback. All authors approved the final manuscript. All authors agree to be accountable for the article and support the accuracy and integrity of the article. The corresponding author attests that all listed authors meet authorship criteria and that no others meeting the criteria have been omitted.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Patient consent for publication Obtained.