[Lymphoplasmacytic inflammatory pseudotumor of the liver].
We present the case of a middle-aged woman with antecedents of cholecystectomy and several episodes of resi-dual coledocolitiasis resolved endoscopically. She attended Emergency Services due to a new clinical picture of abdo-minal pain and alteration of hepatic enzymes. Image tests showed lesions that suggested hepatic abscesses without ruling out a malign origin. Given this doubt it was decided to carry out a thick needle biopsy obtaining a diagnosis of an inflammatory pseudotumour of the liver related to IgG4-related disease. This is an infrequent entity but must be taken into consideration because - unlike malign pathology, which is the main differential diagnosis - its behaviour is benign, with a good evolution with medical treatment. That is why a suitable diagnosis is vital to avoid aggressive, diagnostic-therapeutic procedures.
Servicio de Aparato Digestivo, Complejo Hospitalario Universitario A Coruña, A Coruña, 15006, Spain. eduardovaldi@hotmail.com.
E
E
Valdivielso Córtazar
J A
JA
Yáñez López
L
L
Yáñez Gónzalez-Dopeso
M
M
Diz-Lois Palomares
B
B
González Conde
P
P
Alonso Aguirre
D005260:Female; D006104:Granuloma, Plasma Cell / Q000473:pathology*; D006801:Humans; D008107:Liver Diseases / Q000473:pathology*; D008875:Middle Aged