A 64-year-old man was referred to our hospital for investigation of thickening of the gallbladder wall and hepatic mass. Repeated endoscopic ultrasound-guided fine-needle aspiration examinations of these lesions excluded malignant diseases. Cholecystectomy and resection of lateral section confirmed xanthogranulomatous cholecystitis and inflammatory pseudotumor (IPT) associated with granulomatous cholangitis. Ten months after surgery, a new lesion appeared in the liver medial section, associated

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... with fluorodeoxyglucose accumulation. After performing resection of the affected segment, recurrent IPT related with granulomatous cholangitis was diagnosed. No subsequent recurrence was seen during follow-up. This represents the first report of recurrent hepatic IPT originating from granulomatous cholangitis after resection of xanthogranulomatous cholecystitis and IPT caused by granulomatous cholangitis.