[Inflammatory pseudotumor of the intrahepatic biliary tract].
Hepatic inflammatory pseudotumors are rare, presenting with a severe clinical pattern mimicking neoplasm. The diagnosis is almost always based on pathological examination showing inflammatory lesions with a polymorphous infiltrate and variable amounts of fibrous tissue. Development in the biliary tract is rare. We report the case of a 53-year-old patient who was referred for poor general condition and jaundice; the initial diagnosis was cholangiocarcinoma. Pathological examination of the surgical specimen showed a right intrahepatic biliary duct inflammatory pseudotumor. The patient developed recurrent jaundice three months after surgery due to a lesion of the left biliary ducts. Treatment with cortisone resulted in rapid improvement of jaundice.
Saint-Paul
M C
MC
Laboratoire d'Anatomie Pathologique, Hôpital Pasteur, Nice.
Hastier
P
P
Baldini
E
E
Chevallier
A
A
Chevallier
P
P
Gigante
M
M
Gugenheim
J
J
Michiels
J F
JF
D001653:Bile Ducts, Intrahepatic / Q000473:pathology*; D001660:Biliary Tract Diseases / Q000473:pathology*; D018281:Cholangiocarcinoma / Q000473:pathology*; D003937:Diagnosis, Differential; D006104:Granuloma, Plasma Cell / Q000473:pathology*; D006801:Humans; D008297:Male; D008875:Middle Aged
Pseudo-tumeur inflammatoire des voies biliaires intra-hépatiques.