RESUMO
A 38-year-old female presented with symptoms of gastroenteritis including fatigue and epigastric pain. An abdominal ultrasound indicated on the basis of raised liver values showed multiple liver lesions. However, additional imaging using contrast-enhanced ultrasound (CEUS), computer tomography (CT) as well as a magnetic resonance tomography (MR) failed to clarify the diagnosis. A fine needle biopsy revealed the histological diagnosis of peliosis hepatis. After discontinuing oral contraceptive medication, follow-up showed a steady state with clinical well being for at least 24 months.Peliosis hepatis is a rare hepatic disorder involving "bloody cysts" in the liver. Aetiology and pathogenesis remain unclear, but medication or toxins as possible triggering factors are discussed. Different clinical courses have been reported, including total asymptomatic state, unspecific fatigue, epigastric pain, as well as fulminant cases with liver rupture and bleeding complications.
Assuntos
Anticoncepcionais Orais Hormonais/efeitos adversos , Gastroenterite/induzido quimicamente , Gastroenterite/prevenção & controle , Peliose Hepática/induzido quimicamente , Peliose Hepática/prevenção & controle , Adulto , Diagnóstico Diferencial , Feminino , Gastroenterite/diagnóstico , Humanos , Peliose Hepática/diagnósticoAssuntos
Angiodisplasia/diagnóstico por imagem , Angiografia , Doenças do Ceco/diagnóstico por imagem , Ceco/irrigação sanguínea , Hemorragia Gastrointestinal/diagnóstico por imagem , Tomografia Computadorizada Espiral , Idoso , Meios de Contraste/administração & dosagem , Hemorragia Gastrointestinal/etiologia , Humanos , Processamento de Imagem Assistida por Computador , Iopamidol , Masculino , Sensibilidade e EspecificidadeRESUMO
A commercially available monoclonal antibody against human fibrin was used to detect fibrin in canine formalin-fixed, paraffin wax-embedded tissue by applying a slightly modified alkaline phosphatase anti-alkaline phosphatase (APAAP) technique. Twenty-eight mammary tumours from six bitches were examined for the presence of fibrin. Thrombi and extravascular fibrin deposits were detected in 15 tumours (12 complex adenocarcinomas, one adenocarcinoma, two solid carcinomas), and a single thrombus was detected in one adenoma; 12 tumours (three adenomas, one complex adenoma, four complex adenocarcinomas and four adenocarcinomas) did not show any staining reaction.