title: A case of intra-abdominal hemorrhage secondary to peliosis hepatis.
abstract: BACKGROUND
  peliosis hepatis (PH) is a rare vascular condition of the liver characterized by the presence of cystic blood filled cavities distributed randomly throughout the liver parenchyma Tsokos and co-workers [1-6]. Peliosis is most commonly found in the liver but can also involve the spleen, bone marrow, lungs, and abdominal lymph nodes Tsokos and Erbersdobler [1].
  
  
  METHODS
  We report a case of peliosis hepatis diagnosed post laparotomy. She required a re-look laparotomy with removal of packs peritoneal lavage, placement of intraseed and subhepatic drain. The patient was discharged after an 11-day recovery period.
  
  
  CONCLUSIONS
  We examine the literature and subsequently discuss the etiology and management of peliosis. Peliosis is a rare vascular condition of the liver characterized by the presence of cystic blood filled cavities. Causes are associated with a number of conditions, however, etiology is largely unknown. Management is overwhelmingly conservative except in a handful of cases.
authors.affiliation: General Surgery, Laparoscopy Bsc MB BS DM Doctors Hospital, Nassau, Bahamas. Electronic address: rossdownes@yahoo.com.
authors.forename: Ross O
authors.initials: RO
authors.lastname: Downes
authors.affiliation: Medical Student/Research Assistant Doctors Hospital, Nassau, Bahamas. Electronic address: craig@ufm.com.
authors.forename: Craig L
authors.initials: CL
authors.lastname: Cambridge
authors.affiliation: General Surgery, Bariatrics FRCS CMO Doctors Hospital, Nassau, Bahamas. Electronic address: cdig@themednetgroup.com.
authors.forename: Charles
authors.initials: C
authors.lastname: Diggiss
authors.affiliation: Emergency Services, FRCS F IAS Doctors Hospital, Nassau, Bahamas. Electronic address: jiferenta@doctorshosp.com.
authors.forename: James
authors.initials: J
authors.lastname: Iferenta
authors.affiliation: Radiology Doctors Hospital, Nassau, Bahamas. Electronic address: Muneeshsharma99@gmail.com.
authors.forename: Muneesh
authors.initials: M
authors.lastname: Sharma
keywords: Acute abdomen; Hepatic disease; Intra-abdominal hemorrhage; Peliosis hepatis