title: Inflammatory pseudotumor of the liver: a rare case of recurrence following surgical resection.
abstract: Inflammatory pseudotumor (IPT) of the liver is a rare, benign lesion that may be mistaken for malignancy. IPTs are difficult to diagnose due to non-specific clinical, laboratory and imaging features. We report the case of a 38-year old Asian male who presented with fatigue, weight loss and hepatomegaly. He was found to have a large hepatic IPT and underwent surgical resection; approximately two and a half years later, he developed acute cholangitis secondary to IPT recurrence. We present the imaging features of hepatic IPT using ultrasound, computed tomography (CT) and magnetic resonance imaging (MRI). We also review the literature on the diagnosis and management of this disease. The unique features of this case include the IPT's recurrence following surgical resection, large size and multiple modalities presented.
authors: Department of Radiology, University of British Columbia, Vancouver, BC, Canada.
authors: Silvia D
authors: SD
authors: Chang
authors: Department of Radiology, University of British Columbia, Vancouver, BC, Canada.
authors: Elena P
authors: EP
authors: Scali
authors: Department of Medicine, University of British Columbia, Vancouver, BC, Canada.
authors: Zuheir
authors: Z
authors: Abrahams
authors: Department of Pathology, University of British Columbia, Vancouver, BC, Canada.
authors: Susan
authors: S
authors: Tha
authors: Department of Medicine, University of British Columbia, Vancouver, BC, Canada.
authors: Eric M
authors: EM
authors: Yoshida
mesh_terms: D000328:Adult; D044963:Biopsy, Fine-Needle; D003937:Diagnosis, Differential; D006104:Granuloma, Plasma Cell / Q000175:diagnosis* / Q000601:surgery*; D006801:Humans; D008099:Liver / Q000000981:diagnostic imaging / Q000473:pathology; D008107:Liver Diseases / Q000175:diagnosis* / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008297:Male; D012008:Recurrence; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography
keywords: Inflammatory pseudotumor; computed tomography; inflammatory myofibroblastic tumor; liver; magnetic resonance imaging; ultrasound