Inflammatory pseudotumour of the liver: a diagnostic dilemma.
Inflammatory pseudotumour is a rare, focal, benign inflammatory lesion of the liver parenchyma. It is largely a self-limiting entity and has favorable prognosis; it is thus important to preoperatively distinguish this lesion from malignancy, which it closely imitates. Inflammatory pseudotumour may present variously. We present the case of a 54-year old gentleman who presented with a three-month history of low-grade intermittent fever. Ultrasonography and computed tomography revealed a mass in the left lobe of the liver and the erythrocyte sedimentation rate was raised with coincident hypergammaglobulinaemia. A diagnostic laparotomy with left lateral hepatectomy was performed and histopathological evaluation of the specimen along with special staining and tissue culture revealed an inflammatory pseudotumour. On the second day post-operative the fever subsided and following an uneventful five days the patient was discharged and remains well at one-year follow up with no recurrence or relapse.
Department of Surgical Gastroenterology and Pathology, GB Pant Hospital, Department of Medicine, Maulana Azad Medical College, New Delhi, India.
Pritam
P
Singh
Montish
M
Singla
Nitin
N
Gupta
Jameel
J
Muzaffar
Ram
R
Babu
Puja
P
Sakhuja
Anil
A
Aggarwal
Premashish
P
Kar
D003937:Diagnosis, Differential; D005335:Fever of Unknown Origin; D006104:Granuloma, Plasma Cell / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D006801:Humans; D008107:Liver Diseases / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D008297:Male; D008875:Middle Aged