肝炎症性偽腫瘍の1例

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  • A CASE OF INFLAMMATORY PSEUDOTUMOR OF THE LIVER

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A case of inflammatory pseudotumor of the liver, which was able to be diagnosed based on characteristic images, is reported.<br> A 57-year-old woman with a previous history of undergoing a choledoco-jejunostomy was under clinical observation at the department. The patient was seen because of fever. Ultrasonography revealed a low echogenic tumor 3.5cm in diameter in the posterior segment of the liver. Simple CT also revealed a low density area. Enhanced CT visualized an accumulation of a constrast material in the center of the tumor with low density margin. In the early phase on CT of the hepatic artery, the entire tumor became a high density area, and in the late phase the margin was left as high density area, but the center came to low density aree. From these findings, the diagnosis of inflammatory pseudotumor was made and a liver biopsy was conducted. Histopathologically, fibrous tissues with infiltration into lymphocytes and plasmocytes were confirmed. The definitive diagnosis of inflammatory pseudotumor was mode. There after we observed her clinical course without any treatments and a decreasing in tumor size was recognized, only fibrous tissue being seen on CT eventually.

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