Pathology of peliosis

Tsokos, Michael; Erbersdobler, Andreas

doi:10.1016/j.forsciint.2004.05.010

Cited by 162 publications

(128 citation statements)

References 27 publications

(55 reference statements)

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“…These have been described with and without an endothelial lining. 20 The treatment of peliosis has mostly been confined to the medical management of its associations such as treating infection or ceasing steroid use. The definitive diagnosis and treatment of peliosis of the spleen is currently with splenectomy.…”

Section: Discussionmentioning

confidence: 99%

'Not just another appendicitis!' – a case report of acute abdominal pain caused by splenic rupture secondary to isolated splenic peliosis

Qureshi

Choong²,

Tadrous³

et al. 2009

Ann R Coll Surg Engl

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Case historyA previously healthy 31-year-old Polish male presented to the accident and emergency department with suddenonset of abdominal pain. The pain followed an alcohol binge 8 h prior to his presentation and was generalised and constant in nature. There was no history of trauma related to his excessive alcohol intake. There was one episode of vomiting but no other bowel or urinary symptoms. He also complained of pain in his left shoulder.On physical examination, the abdomen was soft and non-distended. Tenderness was elicited all over the abdomen but was more severe in the epigastric region and right loin with mild guarding. There was no rebound tenderness or rigidity. There were no masses or organomegaly to find. He was afebrile and no abnormalities were detected in the cardiovascular and respiratory examinations. His blood pressure was 130/85 mmHg and heart rate was 83 bpm.Laboratory tests demonstrated a raised white blood cell count of 13.7 × 10 9 /l (normal range, 4.5-11.0 × 10 9 /l) and a C-reactive protein of 16 mg/l (normal range, 0-8 mg/l). Renal, liver function tests, serum amylase and clotting profile were all within normal limits. An erect chest and abdominal radiograph did not reveal any abnormalities. Abdominal ultrasound showed a large amount of abdominopelvic free fluid. The liver was normal in echoic texture with no focal lesions, and the pancreas and kidneys were also normal. The spleen was 'Not just another appendicitis!' -a case report of acute abdominal pain caused by splenic rupture secondary to isolated splenic peliosis ABSTRACTWe present the case of a 31-year-old man admitted with acute abdominal pain who was subsequently found to have a ruptured spleen. A splenectomy was performed as an emergency and he was discharged from hospital 4 days later. Histological analysis revealed isolated splenic peliosis as the underlying condition predisposing to his splenic rupture.

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Section: Discussionmentioning

confidence: 99%

'Not just another appendicitis!' – a case report of acute abdominal pain caused by splenic rupture secondary to isolated splenic peliosis

Qureshi

Choong²,

Tadrous³

et al. 2009

Ann R Coll Surg Engl

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“…Histologically, PH is characterized by the gross appearance of multiple cyst-like, blood-filled cavities within parenchymatous organs. At the macroscopic level in the liver, the peliotic lesions give the cut sections a "Swiss cheese" appearance and fall into the differential diagnosis with Budd-Chiari syndrome (8). Although the pathogenesis remains uncertain, Pan et al…”

Section: Case Reportmentioning

confidence: 99%

Spontaneous hepatic rupture in a bodybuilder: a case report and review of the literature

Mascagni¹,

Melandro²,

Laureiro³

et al. 2017

Rev Esp Enferm Dig

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This article is the first description of a spontaneous hepatic rupture in a young bodybuilder with a history of clenbuterol and ephedrine alkaloid use.The patient presented with a sudden mid-epigastric pain and vomiting. Hemoglobin levels decreased a few hours later and a computed tomography scan was performed which revealed a rupture of the right liver capsule and hemoperitoneum. Two attempts at transarterial embolization did not control the bleeding and a right hemihepatectomy was performed. The pathological report identified a hepatic adenoma, a capsular tear and diffuse peliosis hepatis. The patient was discharged in a good condition after eleven days.Spontaneous hepatic ruptures are rare and life-threatening and are usually described in association with tumors, connective tissue diseases and gestosis. This article is a review of the available literature with regard to this condition, with a focus on its relation to peliosis hepatis and banned substance used by body image fanatics.The present case highlights the challenging diagnosis of this potentially fatal liver complication in a healthy appearing male, the risk associated with the online trade of performance enhancing drugs and its relation with peliosis hepatis.

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“…If the diagnosis is confirmed, further investigations should be considered to detect the presence of disease in other organs 28 .…”

Section: Vascular Cysts Vascular Cysts Vascular Cysts Vascular Cystsmentioning

confidence: 99%

“…It was initially thought that peliosis occurred exclusively in the organs belonging to the mononuclear phagocytic system, i.e., liver, spleen, bone marrow and lymph nodes 28 . However, other organs like lungs, kidneys and parathyroid glands may also foster it 24 .…”

Section: Vascular Cysts Vascular Cysts Vascular Cysts Vascular Cystsmentioning

confidence: 99%

Cistos esplênicos não-parasitários

Schlittler¹,

Dallagasperina

2010

Rev. Col. Bras. Cir.

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ABSTRACT ABSTRACT ABSTRACTThis article gives an overview of the topic, with emphasis on current concepts and management of the clinical situations in question, in particular the concepts related to treatment. An extensive review of the etiology and monitoring of patients with non-parasitic splenic cysts is also made. These reports are derived from major clinical studies published in the current medical literature.

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Pathology of peliosis

Cited by 162 publications

References 27 publications

'Not just another appendicitis!' – a case report of acute abdominal pain caused by splenic rupture secondary to isolated splenic peliosis

'Not just another appendicitis!' – a case report of acute abdominal pain caused by splenic rupture secondary to isolated splenic peliosis

Spontaneous hepatic rupture in a bodybuilder: a case report and review of the literature

Cistos esplênicos não-parasitários

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