title: Inflammatory pseudotumor of the liver in association with spilled gallstones 3 years after laparoscopic cholecystectomy: report of a case.
abstract: We report on a case of a female patient diagnosed with inflammatory pseudotumor of the liver in association with spilled gallstones 3 years after laparoscopic cholecystectomy for calculous acute cholecystitis. She was asymptomatic, but CT revealed an intrahepatic mass and two other extrahepatic masses between the liver and the diaphragm. Furthermore, diffusion-weighted MRI and PET suggested all three lesions could be malignant tumors. As the preoperative diagnosis was intrahepatic cholangiocellular carcinoma with peritoneal disseminations, we performed a posterior segmentectomy of the liver combined with partial resection of the diaphragm. Histological examination showed the intrahepatic tumor was an inflammatory granuloma with abscess formations. There were bilirubin stones between the liver and the diaphragm. Therefore, the tumor was diagnosed as inflammatory pseudotumor of the liver in association with spilled gallstones. In conclusion, the liver tumor emerged after laparoscopic cholecystectomy and may involve inflammatory pseudotumor of the liver in association with spilled gallstones.
authors: Department of Surgery, Saiseikai Fukuoka General Hospital, Fukuoka, Japan. hkaya@surg2.med.kyushu-u.ac.jp
authors: H
authors: H
authors: Kayashima
authors: T
authors: T
authors: Ikegami
authors: H
authors: H
authors: Ueo
authors: N
authors: N
authors: Tsubokawa
authors: H
authors: H
authors: Matsuura
authors: D
authors: D
authors: Okamoto
authors: A
authors: A
authors: Nakashima
authors: K
authors: K
authors: Okadome
mesh_terms: D017081:Cholecystectomy, Laparoscopic; D041881:Cholecystitis, Acute / Q000209:etiology / Q000601:surgery*; D005260:Female; D042882:Gallstones / Q000150:complications* / Q000601:surgery; D006104:Granuloma, Plasma Cell / Q000175:diagnosis* / Q000209:etiology; D006801:Humans; D008107:Liver Diseases / Q000175:diagnosis* / Q000209:etiology; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis*