Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
5732723 | International Journal of Surgery Case Reports | 2017 | 4 Pages |
â¢IHPT is difficult to distinguish from malignant tumorsâ¢Knowledge of IHPT is necessary to allow for treatment, even without experience.
IntroductionInflammatory hepatic pseudotumor (IHPT) is an important benign liver disease because it is difficult to clinically and radiologically distinguish from malignant tumors.Presentation of caseHere, we describe a case of a 67-year-old male patient diagnosed with multiple inflammatory hepatic pseudotumors. The patient had undergone left hemicolectomy for descending colonic cancer (T3 N0 M0 stage IIA) 2 years prior. He underwent segment 6 and segment 7 partial hepatectomy because of suspected liver metastasis. The patient had an unremarkable postoperative course and was discharged 7Â days after surgery. Marked infiltration of inflammatory cells was observed on histological examination. The patient was finally diagnosed with IHPT of the fibrohistiocytic type.DiscussionRepeated imaging studies over 1 month showed the spontaneous regression of the hepatic tumors. Therefore, knowledge regarding this condition is necessary to allow for treatment, even in the absence of experience. During examination, it may be important to ascertain lesion size. Moreover, percutaneous needle biopsy and follow-up examinations are necessary for cases of suspected IHPT.ConclusionHepatectomy should be considered if the lesion is suspected to be an IHPT.