title: Recurring multicystic inflammatory pseudotumor of the liver: a case report.
abstract: Inflammatory pseudotumor (IPT) of the liver is a rare benign lesion for which imaging diagnosis remains a challenge. We report the case of a 39-year-old Algerian woman, who presented epigastric pains combined with fever and jaundice. Ultrasound, CT scan and MRI showed the presence of a 10 cm-long multi-septated cystic mass of the left lobe, with peripheral enhancement. A left-hepatectomy was performed and histopathology revealed an IPT of the liver. During the 4 following years, the patient had three other recurrences of liver IPT at various locations distinct from the original, revealed by the same clinical symptoms. During these relapses, the lesions did regress thanks to a medical treatment. This observation underlines the difficulty of the diagnosis and treatment of liver IPT.
authors.affiliation: AP-HP, Groupe Henri-Mondor Albert-Chenevier, Radiology department, 51, Avenue du Marechal-de-Lattre de Tassigny, 94010 Créteil, France. marionroux@gmail.com
authors.forename: Marion
authors.initials: M
authors.lastname: Roux
authors.forename: Laurence
authors.initials: L
authors.lastname: Baranes
authors.forename: Thomas
authors.initials: T
authors.lastname: Decaens
authors.forename: Daniel
authors.initials: D
authors.lastname: Cherqui
authors.forename: Jeanne Tran Van
authors.initials: JT
authors.lastname: Nhieu
authors.forename: Frederic
authors.initials: F
authors.lastname: Pigneur
authors.forename: Marjan
authors.initials: M
authors.lastname: Djabbari
authors.forename: Mickael
authors.initials: M
authors.lastname: Levy
authors.forename: Alexis
authors.initials: A
authors.lastname: Laurent
authors.forename: Alain
authors.initials: A
authors.lastname: Rahmouni
authors.forename: Alain
authors.initials: A
authors.lastname: Luciani
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D003952:Diagnostic Imaging; D005260:Female; D005334:Fever / Q000209:etiology; D006104:Granuloma, Plasma Cell / Q000175:diagnosis* / Q000628:therapy; D006498:Hepatectomy; D006801:Humans; D007565:Jaundice / Q000209:etiology; D008107:Liver Diseases / Q000175:diagnosis* / Q000628:therapy; D011239:Prednisolone / Q000627:therapeutic use; D012008:Recurrence
chemical_list: D000893:Anti-Inflammatory Agents; D011239:Prednisolone