Inflammatory pseudotumor of the liver complicated with recurrent gouty arthritis.
Inflammatory pseudotumor (IPT) of the liver is a rare benign lesion of unknown etiology and is often accompanied by fever. Unexplained persistent fever unresponsive to antibiotics developed in a 70-year-old man suffering from intractable recurrent gouty arthritis. 67Ga-scintigraphy disclosed intense focal uptake in the upper abdomen. The lesion in the left lobe of the liver was an ill-defined hypodensity mass on computed tomographic scan and was enhanced on dynamic magnetic resonance imaging. The tumor was surgically removed and a diagnosis of IPT was made. Fever and arthritis resolved completely after surgery. Possible interaction between IPT of the liver and gouty arthritis was suggested.
Takahashi
T
T
Department of Internal Medicine, Mikasa City Hospital, Mikasa.
Haneda
T
T
Nagano
T
T
Kawahito
Y
Y
Mori
Y
Y
Senga
K
K
Nakamura
K
K
Ishiguro
T
T
Imai
K
K
D000368:Aged; D015210:Arthritis, Gouty / Q000150:complications* / Q000175:diagnosis; D006104:Granuloma, Plasma Cell / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D008297:Male; D012008:Recurrence