Peliosis and gummatous syphilis of the liver: a case report.

Chen JF¹, Chen WX, Zhang HY, Zhang WY.

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·         ¹Department of Radiology, West China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China.

Abstract

Peliosis hepatis is a rare benign vascular disorder of the liver that may be associated with malignancy, infection and drugs. The imaging manifestation of this disorder is often variable and nonspecific making its diagnosis difficult. We describe a rare case of peliosis hepatis and gummatous syphilis of the liver with emphasis on CT findings. Image characteristics of our patient included pseudotumoral appearance of peliosis hepatis, isodensity to the adjacent liver parenchyma on unenhanced and dual-phase scanning. To our knowledge, peliosis hepatis associated with syphilis and unique enhancement pattern has not been reported. Considering the imaging features of peliosis hepatis, it should be considered in the differential diagnosis of atypical focal hepatic lesion.

World J Gastroenterol. 2008 Mar 28;14（12）:1961-3.

PMID:18350643 [PubMed - indexed for MEDLINE] PMCID:PMC2700425