Navigation Links
How to diagnose peliosis hepatis
Date:6/17/2008

The article reported a 44-year-old woman who presented with upper right abdominal pain for four months. After hepatic lobectomy of the right lobe, histopathological diagnosis of the isodensity mass in segment V and VI and hypodensity lesion in segment VIII was peliosis hepatic and gumma, respectively.

This study, performed by a team led by Professor Wei-Xia Chen, is described in a research article to be published on March 28, 2008 in the World Journal of Gastroenterology. In the view of Dr. Wei-Xia Chen, an associated professor from West China Hospital of Sichuan University in China, this case was unusual in several respects: (1) peliosis hepatis with syphilitic gumma of the liver, (2) isodensity to the adjacent liver parenchyma on unenhanced and on dual-phase CT scanning, (3) pseudotumoral appearance.

The imaging findings of peliosis hepatis are variable depending on the pathologic patterns, lesion size, the extent of communication with sinusoids, and the complications such as thrombosis or hemorrhage within lesions. On unenhanced CT, peliotic lesions usually appear as multiple areas of low attenuation. On contrast enhanced imagings, the lesions show a predominantly central enhancement during the arterial phase and slow centrifugal progression during the portal-venous and delayed phases (the so-called target sign) or an unusual centripetal enhancement pattern similar to hemangioma, from the periphery to the centre. The lesion in this case appeared isodensity, ill-defined on unenhanced scanning and synchronous enhancement with the liver parenchyma on enhanced CT. The enhancement pattern was different to that in previous reports, possibly because of the difference in the severity of sinusoids dilatation.

The case in this article is surely worth the attention of both doctors and the public. The authors suggested that peliosis hepatis should be considered in the differential diagnosis of an atypical focal hepatic lesion. Besides looking into the patient's medical history in detail to find possible causes, awareness of the imaging features of peliosis hepatis should be taken into account during the diagnosis.


'/>"/>

Contact: Jing Zhu
wjg@wjgnet.com
86-105-908-0039
World Journal of Gastroenterology
Source:Eurekalert

Related medicine news :

1. Teenagers and young adults with cancer can face long delays before finally being diagnosed
2. Young patient waited ten months before being diagnosed with cancer
3. IDM Pharma Announces Data Supporting Improved Overall Survival Advantage in Newly Diagnosed Patients with Metastatic Osteosarcoma Treated with Mifamurtide (L-MTP-PE)
4. New insights in diagnosing diabetes may help the millions who are undiagnosed
5. Stroke Victims Often Suffer From Lack of Nutrients With Undiagnosed Disorder
6. The Childrens Hospital of Philadelphia Opens the Worlds First Delivery Unit for Mothers Diagnosed with Birth Defects in Fetus
7. How to diagnose and treat Gardner syndrome with gastric polyposis
8. Kidney Cancers More Likely to Be Diagnosed Early
9. Majority of kidney cancers diagnosed at earliest stage
10. Melissa Biggs, Fashion Designer and Former Baywatch Actress, Teams with CSL Behring to Raise Awareness of Alpha-1 Antitrypsin Deficiency, a Commonly Misdiagnosed Respiratory Disease
11. Bipolar Disorder Might Be Overdiagnosed
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:5/26/2016)... ... ... Connor Sports, through its Connor Cares initiative, will continue to expand ... Tour that will commemorate the Indiana Fever legend’s hall-of-fame career and final WNBA ... levels of the game, Connor Sports has committed to a significantly increased focus on ...
(Date:5/26/2016)... ... May 26, 2016 , ... There are nearly 14.5 ... 32 million cancer survivors worldwide. On Sunday, June 5, 2016, communities around the world ... Cancer Survivors Day®. , National Cancer Survivors Day® is an annual worldwide Celebration ...
(Date:5/26/2016)... ... May 26, 2016 , ... An April Gallup survey ... , The 550 employees of Sun Health Senior Living (SHSL) may not ... reduces their doctor and prescription copays for the year, while holding the line on ...
(Date:5/26/2016)... ... 2016 , ... Eating Recovery Center, Washington (ERC ... brand new child and adolescent residential treatment center on June 1. The 18-bed, ... specialized eating disorder treatment and access to life-saving care. , To celebrate, ERC ...
(Date:5/26/2016)... , ... May 26, 2016 , ... ... Mehling Orthopedics and chief medical officer of Blue Horizon International (BHI), Brian Mehling, ... The conference was held during May 5-6, 2016 in Chicago, IL, USA. Dr. ...
Breaking Medicine News(10 mins):
(Date:5/24/2016)... -- Een app die artsen over de ... kunnen behandelen, hun kennis kunnen delen en van elkaar ... en revolutionaire MDLinking App, ontwikkeld door een internationale groep ... Flu en oncologisch chirurg dr. Gijs van Acker ... op dinsdag 24 mei officieel gepresenteerd op het Amsterdam ...
(Date:5/23/2016)... -- Global Paclitaxel Market 2016 Industry Research ... and the Paclitaxel analysis in this study is supported ... its players. This is the latest Paclitaxel ... current state of the industry while providing a basic ... industry chain structure. The Paclitaxel market analysis is provided ...
(Date:5/23/2016)... York , May 23, 2016 ... report titled, " Exocrine Pancreatic Insufficiency Market - Global ... - 2023 ." According to the report, the exocrine ... CAGR of 8.3% from 2015 to 2023 to reach ... (EPI) is a condition characterized by the deficiency of ...
Breaking Medicine Technology: