[Spontaneous intrahepatic haemorrhage due to peliosis hepatis].
Liver vascular lesions may occur in women on oral contraceptives. We report here spontaneous liver haemorrhage caused by peliosis hepatis, occuring in a 47-year old patient. She used oral contraceptives for many years. A computerized tomography and a magnetic resonance of the abdomen revealed a subcapsular liver hematoma without hemoperitoneum. Treatment consisted of supportive care with favourable clinical outcome. This observation point out a severe complication of peliosis hepatis. The authors review the etiology, diagnosis, complications, treatment and potential role of estrogen/progesterone supplementation as an etiological factor, in peliosis hepatis.
Maréchal
R
R
Service de Gastro-entérologie, C.H.U. Tivoli, La Louvière.
Taccone
F S
FS
Bourgeois
N
N
Hittelet
A
A
D003276:Contraceptives, Oral / Q000627:therapeutic use; D005260:Female; D006470:Hemorrhage / Q000209:etiology*; D006801:Humans; D008107:Liver Diseases / Q000209:etiology*; D008875:Middle Aged; D010382:Peliosis Hepatis / Q000150:complications*
D003276:Contraceptives, Oral