title: [Inflammatory pseudotumor of the liver: a case of recurrence after resection].
abstract: Inflammatory pseudo-tumor of the liver is a rare benign condition. Usually presented as a large liver mass, may cause obstruction or infiltration of the main vessels or biliary tree. The clinical presentation is mostly an inflammatory syndrome with acute abdominal pain. We present a 39-year-old female patient with abdominal pain, fever and jaundice. Images showed a 15-cm liver lesion in the left lobe of the liver. Malignancy could not be discarded and the patient underwent left hepatectomy. The histologic examination reported an inflammatory pseudo-tumor of the liver. The patient recurred after one year with the same symptoms and a 10-cm new lesion occupying segment I. Considered as a recurrence, medical treatment was decided tumor size decreased 50% after the first month and completely disappeared during the follow up. Two years later, the patient was readmitted with a new episode and a new 8-cm liver lesion in segment VII. She was treated again with anti-inflammatory medication and imaging control. Although inflammatory pseudo-tumor of the liver is a benign condition, it can have a recurrent behaviour. The differentiation with other malignant tumors sometimes is impossible by clinical and imaging presentation.
authors: Digestive and Hepato-Biliary Surgery Department, Paris-Est Créteil University, France. salcedajuan@gmail.com
authors: Juan
authors: J
authors: Salceda
authors: Claude
authors: C
authors: Tayar
authors: Alexis
authors: A
authors: Laurent
authors: Luciani
authors: L
authors: Alain
authors: Daniel
authors: D
authors: Cherqui
authors: Daniel
authors: D
authors: Azoulay
mesh_terms: D000328:Adult; D005260:Female; D006104:Granuloma, Plasma Cell / Q000175:diagnosis* / Q000601:surgery; D006498:Hepatectomy; D006801:Humans; D008107:Liver Diseases / Q000175:diagnosis*; D008279:Magnetic Resonance Imaging; D012008:Recurrence; D014057:Tomography, X-Ray Computed