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Lipiodol Accumulation in Focal Peliosis Hepatis with Sinusoidal Dilatation

Shim, Sang Goon M.D.; Paik, Seung Woon M.D.; Hyun, Jae Geun M.D.; Choi, Moon Seok M.D.; Lee, Joon Hyeok M.D.; Rhee, Poong-Lyul M.D.; Kim, Jae J. M.D.; Koh, Kwang Cheul M.D.; Rhee, Jong Chul M.D.; Choi, Kyoo Wan M.D.; Park, Chul Kun M.D.

Journal of Clinical Gastroenterology: April 2001 - Volume 32 - Issue 4 - pp 356-358
Case Reports

Peliosis hepatis is a rare benign condition that is histologically characterized by multiple cystic blood-filled spaces in the liver. Although the cause is unknown, the condition occurs in association with several diseases or medications. We report a patient who was found to have a lesion with lipiodol accumulation in the liver 2 months after its intraarterial injection. The lesion was diagnosed and treated as a small hepatocellular carcinoma. However, subsequent right hepatic lobectomy and histologic examination confirmed the diagnosis of focal peliosis hepatis.

From the Division of Gastroenterology, Departments of Medicine (S.G.S., S.W.P., J.G.H., M.S.C., J.H.L., P-L.R., J.J.K., K.C.K., J.C.R., K.W.C.) and Diagnostic Pathology (C.K.P.), Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Submitted August 12, 1999.

Accepted November 29, 1999.

Address correspondence and reprint requests to Dr. Seung Woon Paik, 50 Ilwon-Dong, Kangnam-Ku, Seoul, Korea, 135-710. E-mail: swpaik@ samsung.co.kr

© 2001 Lippincott Williams & Wilkins, Inc.