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South African Journal of Surgery

On-line version ISSN 2078-5151
Print version ISSN 0038-2361

S. Afr. j. surg. vol.50 n.3 Cape Town Aug. 2012




Isolated splenic peliosis in an immunocompromised patient



M G MagwaiI; S AndronikouII

IMB ChB; Department of Radiology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg
IIMB BCh, FCRad (SA), FRCR (Lond), PhD, Visiting Professor; Department of Radiology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg




BACKGROUND: Peliosis is a rare condition characterised by multiple cyst-like, blood-filled cavities within the parenchyma of solid organs, most commonly affecting the liver. Isolated splenic peliosis is an even more unusual phenomenon. Patients with AIDS may develop peliosis in association with bacillary angiomatosis. This is due to secondary infection with Bartonella henselae or a similar organism, Rochalimaea henselae.
CASE PRESENTATION: A 45-year-old HIV-positive man on antiretroviral therapy presented with a left hypochodrial abdominal mass. Radiological and histopathological examination confirmed splenic peliosis.


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1. Gushiken FC. Peliosis hepatis after treatment with 2-chloro-3'-deoxyadenosine. South Med J 2000; 93:625-626.         [ Links ]

2. Gabor S, Back F, Csiffary D. Peliosis lienis. Uncommon cause of rupture of the spleen. Pathol Res Pract 1992;188(3):380-382, Discussion 382-383.         [ Links ]

3. Slater LN, Welch DF, Min KW. Rochalimaea henselae causes bacillary angiomatosis and peliosis hepatis. Arch Intern Med 1992;152(3):602-606.         [ Links ]

4. Lashbrook DJ, James RW, Phillips AJ, Holbrook AG, Agomar AC. Splenic peliosis with spontaneous splenic rupture: report of two cases. BMC Surg 2006;6;9. []        [ Links ]

5. Tsokos M, Erbersdobler A. Pathology of peliosis. Forensic Sci Int 2005;149:25-33.         [ Links ]

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