Inflammatory Pseudotumor of the Liver: A Rare Case of Recurrence Following Surgical Resection

Authors

  • Silvia D. Chang
  • Elena P. Scali
  • Zuheir Abrahams
  • Susan Tha
  • Eric M. Yoshida

DOI:

https://doi.org/10.3941/jrcr.v8i3.1459

Keywords:

Inflammatory pseudotumor, inflammatory myofibroblastic tumor, liver, ultrasound, computed tomography, magnetic resonance imaging

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.

Author Biographies

Silvia D. Chang

Department of Radiology, University of British Columbia

Elena P. Scali

Department of Radiology, University of British Columbia

Zuheir Abrahams

Department of Pathology, University of British Columbia

Susan Tha

Department of Pathology, University of British Columbia

Eric M. Yoshida

Department of Medicine, University of British Columbia

Published

2014-03-25

Issue

Section

Gastrointestinal Radiology