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Intractable Rare Dis Res. 2015 Aug;4(3):155-8. doi: 10.5582/irdr.2015.01021.

Inflammatory pseudotumor of the liver: A case report and literature review.

Intractable & rare diseases research

Yafei Zhang, Hongwei Lu, Hong Ji, Yiming Li

Affiliations

  1. Department of General Surgery, Second Affiliated Hospital, School of Medicine, Xi'an Jiaotong University, Xi'an, China.

PMID: 26361568 PMCID: PMC4561246 DOI: 10.5582/irdr.2015.01021

Abstract

Reported here is the case of a 55-year-old man who had tarry stools for 3 days before he was seen at this Department. The man had weight loss and an intermittent fever for 3 months prior. Histopathology revealed an inflammatory pseudotumor of the liver. This case is reported here along with a review of the literature. Nine days after surgery, the patient passed bright red blood (150 mL) in the stool with no clear trigger. A colonoscopy a month later revealed no abnormalities. This is a rare report of an inflammatory pseudotumor featuring intractable bleeding. An inflammatory pseudotumor of the liver is a rare condition, and differentiating this pseudotumor from hepatic space-occupying lesions is crucial. An inflammatory pseudotumor of the liver may spontaneously regress and mimic other liver tumors. The treatment of choice for this pseudotumor is still surgical resection, and this is especially true for patients with severe symptoms or an indeterminate diagnosis.

Keywords: Inflammatory pseudotumor (IPT); bleeding; liver

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