title: Spontaneous hepatic rupture in a patient with peliosis hepatis: A report of one case.
abstract: BACKGROUND
  Liver rupture is a serious event that is most commonly due to blunt abdominal trauma. We present a case of peliosis hepatis in a patient admitted for acute pyelonephritis who developed hemoperitoneum due to spontaneous hepatic rupture from this rare liver condition.
  
  
  METHODS
  We report a 44 year-old woman who presented to our hospital with acute pyelonephrititis and hemoperitoneum due to spontaneous hepatic rupture from peliosis hepatis. Physicians should be aware of this rare condition in patients who present with non-traumatic hepatic rupture with hemoperitoneum.
  
  
  CONCLUSIONS
  PH should be considered in all patients with known risk factors who present with typical morphological changes or a hepatic mass, especially when the cause of sudden intraperitoneal hemorrhage is obscure.
  
  
  CONCLUSIONS
  Peliosis hepatis is most often asymptomatic and an incidental finding at autopsy. In symptomatic patients, surgery should be reserved for those patients whose hemorrhage is-life-threatening. Familiarity with the imaging characteristics can help in earlier diagnosis of peliosis hepatis.
authors.affiliation: Department of General, Digestive and Endocrine Surgery, Reims University Hospital, France.
authors.forename: Daniele
authors.initials: D
authors.lastname: Sommacale
authors.forename: Elisa
authors.initials: E
authors.lastname: Palladino
authors.forename: Esther L
authors.initials: EL
authors.lastname: Tamby
authors.forename: Marie Danielle
authors.initials: MD
authors.lastname: Diebold
authors.forename: Ali Reza
authors.initials: AR
authors.lastname: Kianmanesh
references.citation: J Pediatr Surg. 2001 Sep;36(9):1456-9
references.pmid: 11528627
references.citation: HPB Surg. 1996;9(4):257-60
references.pmid: 8809590
references.citation: Gut. 1988 Sep;29(9):1265-9
references.pmid: 3198003
references.citation: Arch Surg. 1991 Jun;126(6):782-3
references.pmid: 2039369
references.citation: Int Surg. 2011 Oct-Dec;96(4):310-5
references.pmid: 22808612
references.citation: J Hepatol. 1999 Jun;30(6):1146-50
references.pmid: 10406195
references.citation: Hepatology. 2000 Mar;31(3):587-91
references.pmid: 10706547
references.citation: Chirurg. 2002 Jan;73(1):83-5
references.pmid: 11974467
references.citation: Obstet Gynecol. 1995 May;85(5 Pt 2):819-22
references.pmid: 7724124
references.citation: Am Surg. 1995 Sep;61(9):756-60
references.pmid: 7661469
references.citation: World J Gastroenterol. 2009 Nov 21;15(43):5493-7
references.pmid: 19916182
references.citation: Hepatology. 1993 Jun;17(6):1157-62
references.pmid: 8514266
references.citation: Obstet Gynecol. 1991 Feb;77(2):171-5
references.pmid: 1988875
references.citation: J Vasc Interv Radiol. 2002 May;13(5):542-5
references.pmid: 11997366
references.citation: Am J Surg. 1977 Dec;134(6):817-20
references.pmid: 596550
references.citation: Am J Forensic Med Pathol. 2012 Dec;33(4):307-10
references.pmid: 22104329
references.citation: Korean J Radiol. 2007 Jan-Feb;8(1):64-9
references.pmid: 17277565
references.citation: Gut. 2004 Oct;53(10):1516-9
references.pmid: 15361506
references.citation: Zentralbl Chir. 1991;116(6):399-403
references.pmid: 1907060
references.citation: World J Gastroenterol. 2012 Nov 7;18(41):5999-6002
references.pmid: 23139621
references.citation: Haematologica. 2007 Nov;92(11):e106-10
references.pmid: 18024386
references.citation: J Clin Gastroenterol. 1999 Jun;28(4):323-8
references.pmid: 10372929