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Diagnostic dilemma; inflammatory pseudotumor of the liver

Atilla Soran, Serap Erel, Ozge Han, Omer Cengiz, Selda Seckin, Faruk Coskun

CaseRepClinPractRev 2003; 4(3):196-198

ID: 450620

Background: Inflammatory pseudotumor is a localized benign lesion that is rarely described in the liver. The first documentation was in 1953, since then there are less than 70 cases of inflammatory pseudotumor of the liver in the English literature. They are mostly misdiagnosed as either primary or secondary hepatic neoplasm.
Case Report: We report case of a 28-year old man who was operated with diagnosis of hemangioendothelioma,
a kind of mesenchymal tumor of liver. The final diagnosis was inflammatory pseudotumor of the liver.
Conclusions: Hepatic inflammatory pseudotumor should be kept in mind when a surgeon faces a patient with
hepatic mass, and diagnostic dilemma may be solved by a prompt USG guided fine needle mass biopsy.
However, because of the morbidity and mortality of noncirrhotic liver resection is low, for diagnostic and therapeutic purposes, surgical resection should be the preferred treatment.

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