Hepatic Inflammatory Pseudotumor Associated with Xanthogranulomatous Cholangitis Mimicking Cholangiocarcinoma

Sung Kwan Bae, Seigo Abiru, Yukio Kamohara, Satoru Hashimoto, Masashi Otani, Akira Saeki, Shinya Nagaoka, Kazumi Yamasaki, Atsumasa Komori, Masahiro Ito, Hikaru Fujioka, Hiroshi Yatsuhashi
2015 Internal medicine (Tokyo. 1992)  
Inflammatory pseudotumor (IPT) is a rare benign condition often misdiagnosed as malignancy. An 80year-old man was referred to our clinic for an asymptomatic hepatic mass detected on plain abdominal CT. Abdominal ultrasonography identified the lesion as a poorly defined hypoechoic mass. Although a liver biopsy did not provide any evidence of malignancy, imaging modalities suggested a diagnosis of cholangiocarcinoma. The patient underwent left lobectomy, and the pathological findings were
more » ... ndings were consistent with the features of xanthogranulomatous cholangitis. This case is the first report of hepatic IPT originating from xanthogranulomatous cholangitis without symptoms and illustrates the importance of obtaining a preoperative diagnosis in order to avoid a misdiagnosis of malignant tumor.
doi:10.2169/internalmedicine.54.2623 pmid:25832940 fatcat:3pj5yyxclbherl3hphuyffsqpa