Solitary peliosis hepatis mimics a liver metastasis on contrast-enhanced ultrasound
Peliosis hepatis remains a rare focal liver lesion with inconclusive imaging features. The unknown pathogenesis represents a wide possible range of etiologies including the breakdown of the sinusoidal borders, a potential hepatic outflow obstruction or dilatation of the central vein of a hepatic lob...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-05-01
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| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043323001553 |
| _version_ | 1797854542535065600 |
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| author | Paul Spiesecke Stefan Pahl, MD Thomas Fischer, MD Markus Herbert Lerchbaumer, MD |
| author_facet | Paul Spiesecke Stefan Pahl, MD Thomas Fischer, MD Markus Herbert Lerchbaumer, MD |
| author_sort | Paul Spiesecke |
| collection | DOAJ |
| description | Peliosis hepatis remains a rare focal liver lesion with inconclusive imaging features. The unknown pathogenesis represents a wide possible range of etiologies including the breakdown of the sinusoidal borders, a potential hepatic outflow obstruction or dilatation of the central vein of a hepatic lobule. In histopathology, a blood-filled cystlike appearance with sinusoidal dilatation was reported. On ultrasound, B-mode features are not specific demonstrating a irregular, moreover hypoechogenic focal liver lesions. Postcontrast imaging features on Contrast-Enhanced-Ultrasound may mimic a malignant lesion with irregular contrast inflow and washout during late phase. Our case demonstrates a peliosis hepatis with malignant image features on contrast-enhanced ultrasound, ruled out by PET-CT and core needle biopsy with corresponding histopathological workup. |
| first_indexed | 2024-04-09T20:08:51Z |
| format | Article |
| id | doaj.art-8ac07aa98f724f339395fa2f36b829b7 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-04-09T20:08:51Z |
| publishDate | 2023-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-8ac07aa98f724f339395fa2f36b829b72023-04-01T08:46:34ZengElsevierRadiology Case Reports1930-04332023-05-0118519681972Solitary peliosis hepatis mimics a liver metastasis on contrast-enhanced ultrasoundPaul Spiesecke0Stefan Pahl, MD1Thomas Fischer, MD2Markus Herbert Lerchbaumer, MD3Department of Radiology, Charité—Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humbold, Universität zu Berlin, and Berlin Institute of Health,Charitéplatz 1, 10117 Berlin, GermanyDepartment of Pathology, Charité—Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humbold, Universität zu Berlin, and Berlin Institute of Health, Charitéplatz 1, 10117 Berlin, GermanyDepartment of Radiology, Charité—Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humbold, Universität zu Berlin, and Berlin Institute of Health,Charitéplatz 1, 10117 Berlin, GermanyDepartment of Radiology, Charité—Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humbold, Universität zu Berlin, and Berlin Institute of Health,Charitéplatz 1, 10117 Berlin, Germany; Corresponding author.Peliosis hepatis remains a rare focal liver lesion with inconclusive imaging features. The unknown pathogenesis represents a wide possible range of etiologies including the breakdown of the sinusoidal borders, a potential hepatic outflow obstruction or dilatation of the central vein of a hepatic lobule. In histopathology, a blood-filled cystlike appearance with sinusoidal dilatation was reported. On ultrasound, B-mode features are not specific demonstrating a irregular, moreover hypoechogenic focal liver lesions. Postcontrast imaging features on Contrast-Enhanced-Ultrasound may mimic a malignant lesion with irregular contrast inflow and washout during late phase. Our case demonstrates a peliosis hepatis with malignant image features on contrast-enhanced ultrasound, ruled out by PET-CT and core needle biopsy with corresponding histopathological workup.http://www.sciencedirect.com/science/article/pii/S1930043323001553Peliosis hepatisCEUSContrast-enhanced ultrasoundMetastasisUltrasound |
| spellingShingle | Paul Spiesecke Stefan Pahl, MD Thomas Fischer, MD Markus Herbert Lerchbaumer, MD Solitary peliosis hepatis mimics a liver metastasis on contrast-enhanced ultrasound Radiology Case Reports Peliosis hepatis CEUS Contrast-enhanced ultrasound Metastasis Ultrasound |
| title | Solitary peliosis hepatis mimics a liver metastasis on contrast-enhanced ultrasound |
| title_full | Solitary peliosis hepatis mimics a liver metastasis on contrast-enhanced ultrasound |
| title_fullStr | Solitary peliosis hepatis mimics a liver metastasis on contrast-enhanced ultrasound |
| title_full_unstemmed | Solitary peliosis hepatis mimics a liver metastasis on contrast-enhanced ultrasound |
| title_short | Solitary peliosis hepatis mimics a liver metastasis on contrast-enhanced ultrasound |
| title_sort | solitary peliosis hepatis mimics a liver metastasis on contrast enhanced ultrasound |
| topic | Peliosis hepatis CEUS Contrast-enhanced ultrasound Metastasis Ultrasound |
| url | http://www.sciencedirect.com/science/article/pii/S1930043323001553 |
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