OJRad  Vol.4 No.1 , March 2014
Unique MR Findings in a Case Series of Two Symptomatic Patients with Peliosis Hepatis
Abstract: Purpose: The aim of this report is to describe the unusual MR imaging characteristics observed in two patients with biopsy-proven peliosis hepatis. Imaging findings using gadoxetate disodium (Eovist) as the contrast agent in a patient with peliosis hepatis are presented for the first time. Methods: This is a retrospective review of the MRI findings in two patients reviewed independently by two specialized abdominal imaging radiologists. The radiological findings were correlated with clinical history and histopathology. Results: Peliosis hepatis is a rare clinical and radiological entity that is often a diagnostic dilemma due to its non-specific clinical characteristics. Unusual imaging characteristics in this rare entity make diagnosis even more challenging. Conclusions: Improved understanding of the imaging characteristics of peliosis hepatis may prevent unnecessary and potentially dangerous biopsies in select patients with peliosis hepatis. This requires a high index of suspicion for practicing radiologists due to the rarity of this disease.
Cite this paper: Pierce, D. , Davis, C. , Bloomston, P. and Shah, Z. (2014) Unique MR Findings in a Case Series of Two Symptomatic Patients with Peliosis Hepatis. Open Journal of Radiology, 4, 79-84. doi: 10.4236/ojrad.2014.41010.

[1]   Tsokos, M. and Erbersdobler, A. (2005) Pathology of Peliosis. Forensic Science International, 149, 25-33.

[2]   Choi, S.K., Jin, J.S., Cho, S.G., Choi, S.J., Kim, C.S., Choe, Y.M. and Lee, K.Y. (2009) Spontaneous Liver Rupture in a Patient with Peliosis Hepatis: A Case Report. World Journal of Gastroenterology, 15, 5493-5497.

[3]   Iannaccone, R., Federle, M.P., Brancatelli, G., et al. (2005) Peliosis Hepatis: Spectrum of Imaging Findings. American Journal of Roentgenology, 187, W43-W52.

[4]   Kleinig, P., Davies, R.P., Maddern, G. and Kew, J. (2003) Peliosis Hepatis: Central “Fast Surge” Ultrasound Enhancement and Multislice CT Appearances. Clinical Radiology, 58, 995-998.

[5]   Gouya, H., Vignaux, O., Legmann, P., et al. (2001) Peliosis Hepatis: Triphasic Helical CT and Dynamic MRI Findings. Abdominal Imaging, 26, 507-509.

[6]   Verswijvel, G., Janssens, F., Colla, P., et al. (2003) Peliosis Hepatis Presenting as a Multifocal Hepatic Pseudotumor: MR Findings in Two Cases. European Radiology, 13, L40-L44.

[7]   Battal, B., Kocaoglu, M., AvniAtau, A. and Bulakbasi, N. (2010) Multifocal Peliosis Hepatis: MR and DiffusionWeighted MR Imaging: Findings of an Atypical Case. Upsala Journal of Medical Sciences, 115, 153-156.