Inflammatory pseudotumor of the liver: a rare case of recurrence following surgical resection

Inflammatory pseudotumor (IPT) of the liver is a rare, benign lesion that may be mistaken for malignancy. IPTs are difficult to diagnose due to non-specific clinical, laboratory and imaging features. We report the case of a 38-year old Asian male who presented with fatigue, weight loss and hepatomeg...

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Bibliographic Details
Published in:Journal of radiology case reports 2014-03, Vol.8 (3), p.23-30
Main Authors: Chang, Silvia D, Scali, Elena P, Abrahams, Zuheir, Tha, Susan, Yoshida, Eric M
Format: Article
Language:English
Subjects:
Adult
Biopsy, Fine-Needle
Diagnosis, Differential
Gastrointestinal Radiology
Granuloma, Plasma Cell - diagnosis
Granuloma, Plasma Cell - surgery
Humans
Liver - diagnostic imaging
Liver - pathology
Liver Diseases - diagnosis
Liver Diseases - surgery
Magnetic Resonance Imaging
Male
Recurrence
Tomography, X-Ray Computed
Ultrasonography
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Summary:Inflammatory pseudotumor (IPT) of the liver is a rare, benign lesion that may be mistaken for malignancy. IPTs are difficult to diagnose due to non-specific clinical, laboratory and imaging features. We report the case of a 38-year old Asian male who presented with fatigue, weight loss and hepatomegaly. He was found to have a large hepatic IPT and underwent surgical resection; approximately two and a half years later, he developed acute cholangitis secondary to IPT recurrence. We present the imaging features of hepatic IPT using ultrasound, computed tomography (CT) and magnetic resonance imaging (MRI). We also review the literature on the diagnosis and management of this disease. The unique features of this case include the IPT's recurrence following surgical resection, large size and multiple modalities presented.
ISSN:1943-0922
1943-0922
DOI:10.3941/jrcr.v8i3.1459