Peliosis hepatis: diagnosis by magnification wedged hepatic venography.

Abstract

Benign hepatic tumors and peliosis hepatis developed in a patient who had received androgen therapy for three years. The tumors were identified by arteriography. Peliosis hepatis was diagnosed by wedged hepatic venography: to our knowledge, this method has not been previously used to diagnose this condition. Wedged venography, performed four months after withdrawal of androgen therapy and after liver function had nearly returned to normal, demonstrated morphologic improvement as well. On the basis of this case and other histologic descriptions of peliosis hepatis, we believe that wedged hepatic venography is a simple, sensitive, and specific diagnostic modality.

A case of intra-abdominal hemorrhage secondary to peliosis hepatis

“…Liver biopsy is the most reliable tool in diagnosing peliosis hepatis [13–15] . However, various imaging techniques (Ultrasound, CT, MRI, hepatic scintigraphy, hepatic angiography) may suggest a diagnosis of PH in an appropriate clinical setting [29–37] .…”

“…The differential diagnosis on microscopic examination of liver specimens includes sinusoidal obstruction syndrome, heart failure, and Budd–Chiari syndrome. On imaging studies, the differential diagnosis includes other focal liver lesions including adenoma, hemangioma, focal nodular hyperplasia, abscess, hypervascular metastatic lesions, and hepatocellular carcinoma [22,29–37] .…”

In utero sonographic description of a fetal liver adenoma.

“…The demon· stration of many dilated tubular cystic structures within the mass suggested peliosis hepatis. 9 Because our portable ultrasound unit lacked Doppler capability, the nature of the flow pattern within the dilated vessels could not J Ultrasound Med 9:U9-122, 1990…”