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[Idiopathic peliosis hepatis: case report and review of the literature (author's transl)].

Authors
  • Brochard, P
  • Lejonc, J L
  • Schaeffer, A
  • Portos, J L
Type
Published Article
Journal
Annales de médecine interne
Publication Date
Jan 01, 1981
Volume
132
Issue
3
Pages
195–199
Identifiers
PMID: 7027866
Source
Medline
License
Unknown

Abstract

Peliosis hepatis is a very uncommon disease defined by pathological lesions located in the liver and in the spleen characterized by blood filled lakes irregularly disseminated throughout parenchyma, without abnormalities of the hepatic veins or the vena cava system. A new case, regularly followed 3 years after the initial diagnosis is reported. Recent reports of the literature have pointed out etiologic factors, particularly iatrogenic factors. None of the reported factors could be found out in the present case. This emphasizes the need of epidemiological studies of such a rare disease (case-control study in a multicentric basis). Finally a successful diagnosis approach is proposed: transvenous (transjugular) liver biopsy. This procedure prevents hemorrhagic risk which could be a complication of routine transcutaneous liver biopsy in this disease.

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