Spontaneous liver rupture in a patient with peliosis hepatis: a case report.
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.
Choi
Sun-Keun
SK
Department of Surgery, Inha University School of Medicine, Incheon 400-711, South Korea.
Jin
Jun-Shuo
JS
Cho
Soon-Gu
SG
Choi
Suk-Jin
SJ
Kim
Chul-Soo
CS
Choe
Yun-Mee
YM
Lee
Keon-Young
KY
D000328:Adult; D000741:Anemia, Aplastic / Q000150:complications; D005762:Gastroenterology / Q000379:methods; D006801:Humans; D008099:Liver / Q000293:injuries* / Q000473:pathology / Q000601:surgery; D008107:Liver Diseases / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D008297:Male; D010382:Peliosis Hepatis / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D012422:Rupture, Spontaneous / Q000175:diagnosis* / Q000601:surgery; D013256:Steroids / Q000627:therapeutic use; D016896:Treatment Outcome
D013256:Steroids