Abstract

Inflammatory pseudotumor of the liver is a rare tumor-like lesion which has no specific clinical, laboratory or radiological findings. Despite the advances in the imaging techniques there is still possibility of misdiagnosis of this hepatic condition since it is often confused with primary or secondary neoplasms of the liver. Moreover, the gross appearance of inflammatory pseudotumor sometimes suggests malignancy. A new case of a hepatic inflammatory pseudotumor in a 65-year-old woman is reported. The patient suffered from some disorders which are thought to be induction factors for the tumor, i.e. cholelithiasis accompanied by chronic cholecystitis in the past medical history and diabetes mellitus type 2. A brief review of the literature especially regarding to histopathological features and diagnosis of hepatic inflammatory pseudotumor was also presented.

Highlights

  • Inflammatory pseudotumor (IPT) known as inflammatory myofibroblastic tumor is a rare tumor-like lesion of unknown cause

  • IPT is an uncommon hepatic lesion considered as a benign condition usually with good prognosis, aggressive behavior has been occasionally reported [3,18]

  • Some authors suggested that disturbance of biliary drainage, e.g., due to biliary stones [1,7], recurrent pyogenic cholangitis [4,26] or sclerosing cholangitis is important [25]

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Summary

Introduction

Inflammatory pseudotumor (IPT) known as inflammatory myofibroblastic tumor is a rare tumor-like lesion of unknown cause. The aim of the description was to present a new case of hepatic inflammatory pseudotumor in patients with type 2 diabetes. Abdominal ultrasonography (USG) showed a 50x42x39 mm hypoechogenic, slightly heterogenous lesion located in the right lobe of the liver (segment 4/5).

Results
Conclusion

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