Unique MR Findings in a Case Series of Two Symptomatic Patients with Peliosis Hepatis

• 作者: Christopher S. Davis Drew Pierce Paul M. Bloomston Zarine K. Shah
• 来源期刊: 放射学期刊(英文)
• 学科: 医学
• 关键词: PELIOSIS Hepatis Magnetic Resonance Imaging Hepatic LESIONS Liver Disease Gadoxetate DISODIUM
• 年，卷（期）: fsxqkyw_2014,（1）
• 页码范围: 79-84
• 页数: 6页
• 分类号: R73

摘要

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.