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©2009 The WJG Press and Baishideng. All rights reserved.
World J Gastroenterol. Nov 21, 2009; 15(43): 5493-5497
Published online Nov 21, 2009. doi: 10.3748/wjg.15.5493
Published online Nov 21, 2009. doi: 10.3748/wjg.15.5493
Spontaneous liver rupture in a patient with peliosis hepatis: A case report
Sun-Keun Choi, Jun-Shuo Jin, Yun-Mee Choe, Keon-Young Lee, Department of Surgery, Inha University School of Medicine, Incheon 400-711, South Korea
Soon-Gu Cho, Department of Radiology, Inha University School of Medicine, Incheon 400-711, South Korea
Suk-Jin Choi, Department of Pathology, Inha University School of Medicine, Incheon 400-711, South Korea
Chul-Soo Kim, Department of Internal Medicine, Inha University School of Medicine, Incheon 400-711, South Korea
Author contributions: Choi SK designed the research; Jin JS wrote the paper; Choe YM contributed to background research; Lee KY performed the operation and supervised the research; Cho SG examined radiologic findings; Choi SJ examined pathologic findings; Kim CS managed the patient.
Supported by Inha University Research Grant
Correspondence to: Keon-Young Lee, MD, PhD, Department of Surgery, Inha University School of Medicine, 7-206, 3-Ga Sinheung-Dong, Jung-Gu, Incheon 400-711, South Korea. 196087@inha.ac.kr
Telephone: +82-32-8903432 Fax: +82-32-8903097
Received: September 1, 2009
Revised: October 12, 2009
Accepted: October 19, 2009
Published online: November 21, 2009
Revised: October 12, 2009
Accepted: October 19, 2009
Published online: November 21, 2009
Abstract
Peliosis hepatis is a rare pathological entity and may cause fatal hepatic hemorrhage and liver failure. Here, we present a young male patient with aplastic anemia, who had received long-term treatment with oxymetholone. The patient suffered from sudden onset of intra-abdominal hemorrhage with profuse hemoperitoneum. The patient was treated successfully with a right hemihepatectomy and is in good health after 13 postoperative months. We suggest that peliosis hepatis be considered in patients with hepatic parenchymal hematoma, especially in patients under prolonged synthetic anabolic steroid medication. The possibility of a potentially life-threatening complication of massive intra-abdominal bleeding should also be considered.
Keywords: Peliosis hepatis, Spontaneous rupture, Liver