MR findings in peliosis hepatis
Peliosis is an uncommon condition characterized by multiple blood-filled cavities mostly involving the liver. Although the etiology is unknown the condition may be associated with several disease states and medications. We report the MR findings of peliosis hepatis in a patient with Fanconi anemia who had been treated with anabolic androgenic steroids for 3 years. The MR examination of the upper abdomen was performed on a 0.5 T system. The signal intensity of the right lobe of the liver was diffusely increased in all sequences. Within the enlarged liver, multiple foci of brighter signal were seen involving both right and left lobes. The lesions showed contrast enhancement. A cystic cavity with an enhancing rim was seen representing a haematoma cavity. The spleen was spared the patient died of sepsis and the postmortem examination confirmed the diagnosis of peliosis hepatis.
KeywordsSteroid Anemia Contrast Enhancement Left Lobe Postmortem Examination
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
Hayward SR, Lucas CE, Ledgerwood AM (1991) Recurrent spontaneous intrahepatic hemorrhage from peliosis hepatis. Arch Surg 126: 782–783PubMedGoogle Scholar
Simon DM, Krause R, Galambos JT (1988) Peliosis hepatis in a patient with marasmus. Gastroenterology 95: 805–809PubMedGoogle Scholar
Radin DR, Kanel GC (1991) Peliosis hepatis in a patient with human deficiency virus infection. AJR 156: 91–92PubMedGoogle Scholar
Maves CK, Caren KH, Bisset GS III, Agarwal R (1992) Splenic and hepatic peliosis: MR findings. AJR 158: 75–76PubMedGoogle Scholar
Soe KL, Soe M, Gluud C (1992) Liver pathology associated with the use of anabolic androgenic steroids. Liver 12: 73–79PubMedGoogle Scholar
Smathers RL, Heiken JP, Lee JKT, Press GA, Balfe DM (1984) Computerized tomography of fatal hepatic rupture due to peliosis hepatis. J Comput Assist Tomogr 8: 768–769PubMedGoogle Scholar
Tsukamato Y, Nakata H, Kimoto T, Noda T, Kuroda Y, Haratake J (1984) CT and angiography of peliosis hepatis. AJR 142: 539–540PubMedGoogle Scholar
Cragg A, Zuniga WC, Lund G, Salomonowitz E, Amplatz K (1984) Infantile peliosis hepatis. Pediatr Radiol 14: 340–342CrossRefPubMedGoogle Scholar