A rare clinical entity misdiagnosed as a tumor: Peliosis hepatis

Peliosis hepatis (PH) is a rare condition characterized by the presence of cystic, blood filled cavities within the hepatic parenchyma. Regardless of the reason, surgery should be performed under meticulous control of hemorrhage, if it is thought to be unavoidable. In this case report, ominous results of clinically misdiagnosed PH have been presented. PH should be kept on mind in all patients with hepatic mass, especially presented by sudden onset distention of the abdomen. Every effort should be done for the differential diagnosis with other cystic conditions like hydatid cyst in endemic areas.

Yanlýþlýkla tümör tanýsý konmuþ nadir bir klinik durum: Peliosis hepatis

Peliosis hepatis (PH), karaciðer parankiminin kistik, içi kan dolu boþluklardan oluþan, seyrek bir durumudur. Cerrahi giriþim kaçýnýlmaz ise, dikkatli bir kanama kontrolü altýnda yapýlmalýdýr. Bu yazýda, klinik olarak taný konulamamýþ bir PH olgusunun kötü sonuçlarý sunuldu. PH, özellikle karýnda meydana gelen ani þiþlikle baþvuran tüm karaciðer kitlelerinde akýlda tutulmasý gereken bir tanýdýr. Endemik bölgelerde hidatik kist gibi diðer kistik durumlarýn ayýrýcý tanýsýnýn yapýlmasýna çalýþýlmalýdýr.