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[Spontaneous intrahepatic haemorrhage due to peliosis hepatis]

R Maréchal1, F S Taccone, N Bourgeois

  • 1Service de Gastro-entérologie, C.H.U. Tivoli, La Louvière.

Revue Medicale De Bruxelles
|December 2, 2005
PubMed

Liver vascular lesions may occur in women on oral contraceptives. We report here spontaneous liver haemorrhage caused by peliosis hepatis, occuring in a 47-year old patient. She used oral contraceptives for many years. A computerized tomography and a magnetic resonance of the abdomen revealed a subcapsular liver hematoma without hemoperitoneum. Treatment consisted of supportive care with favourable clinical outcome. This observation point out a severe complication of peliosis hepatis. The authors review the etiology, diagnosis, complications, treatment and potential role of estrogen/progesterone supplementation as an etiological factor, in peliosis hepatis.

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