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PELIOSIS HEPATIS: IMPROVEMENT OF ESOPHAGEAL VARICES AFTER THE SURGICAL TREATMENT OF PLACENTAL SITE TROPHOBLASTIC TUMOR OF THE UTERUS
Author(s) -
NAKANISHI SEIJI,
MIYATA TOMOSHI,
MURATA YOSUKE,
OHNO YOSHINORI,
HATAKEYAMA YUKO,
KUMAGI TERU,
ABE MASANORI,
MATSUI HIDETAKA,
IUCHI HIDEHITO,
MICHITAKA KOJIRO,
HORIIKE NORIO,
ONJI MORIKAZU
Publication year - 2003
Publication title -
digestive endoscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.5
H-Index - 56
eISSN - 1443-1661
pISSN - 0915-5635
DOI - 10.1046/j.1443-1661.2003.00218.x
Subject(s) - peliosis hepatis , medicine , esophageal varices , cirrhosis , varices , ascites , pleural effusion , gastroenterology , pathology , portal hypertension , radiology
We report a case of peliosis hepatis associated with placental site trophoblastic tumor (PSTT) of the uterus. A 46‐year‐old woman was admitted to our hospital with complaints of leg edema, pleural effusion and ascites, complicated with esophageal varices. Peritoneoscopy did not show any evidence of liver cirrhosis and liver biopsy revealed peliosis hepatis. Later, uterine tumor was detected and, after a hysterectomy, peliosis hepatis and esophageal varices were dramatically improved. We suggest that the uterine tumor caused peliosis hepatis with fibrosis and that portal hypertension developed as a consequence of these lesions. The present case is of interest because esophageal varices were improved without ordinary treatment.