Lahlou W, Bourial A, Rami A, Al Bouzidi A, Nejjari M, Alammari I. Hepatic peliosis in a newborn - A case report and review of the literature.
Int J Surg Case Rep 2024;
125:110476. [PMID:
39602925 PMCID:
PMC11629271 DOI:
10.1016/j.ijscr.2024.110476]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2024] [Revised: 10/14/2024] [Accepted: 10/15/2024] [Indexed: 11/29/2024] Open
Abstract
INTRODUCTION
Hepatic peliosis is a rare benign vascular disorder characterized by dilatation of sinusoidal blood-filled spaces within the liver. It often remains asymptomatic and is diagnosed incidentally in an autopsy. Herein, we report a case of a 1-day-old female newborn who was admitted to the neonatal resuscitation unit for abdominal distension.
CASE PRESENTATION
An abdominal examination revealed a firm mass with irregular contours in the upper quadrant of the abdomen, indicating hepatomegaly. Radiological explorations confirmed the hepatomegaly, and an ultrasound-guided liver biopsy showed the presence of multiple blood cavities with sinusoidal dilation typical of hepatic peliosis.
DISCUSSION
None of the known risk factors were found in this case except antihistaminic drug consumption during pregnancy by the mother, which could possibly have a link, although never described.
CONCLUSION
In this article, we report a case of neonatal hepatic peliosis likely secondary to antihistaminic consumption during pregnancy. To the best of our knowledge, this is the fifth reported case (based on the MEDLINE, Scopus, and Google Scholar databases) of neonatal hepatic peliosis.
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