首页|Inflammatory pseudotumor of the liver and spleen diagnosed by percutaneous needle biopsy

Inflammatory pseudotumor of the liver and spleen diagnosed by percutaneous needle biopsy

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An inflammatory pseudotumor (IPT) is a relatively rare lesion characterized by chronic infiltration of inflammatory cells and areas of fibrosis. IPTs are difficult to diagnose because of the absence of specific symptoms or of characteristic hematological or radiological findings. In this study, a case of a woman aged over 70 years was reported, who presented with a general malaise lasting more than two months. A computed tomography scan demonstrated a diffusely spread lesion of the liver with a portal vein occlusion and a splenic lesion surrounded by a soft density layer. Since the percutaneous liver biopsy showed findings that suggested an IPT, although the radiological findings did not exclude the possibility of a malignancy, we performed a percutaneous spleen biopsy to enable a more definitive diagnosis. The microscopic findings from the spleen specimen lead us to a diagnosis of IPT involving the liver and spleen. Subsequent Subsequent steroid pulse therapy was effective, and rapid resolution of the disease was observed.

Inflammatory pseudotumorPercutaneous liver biopsyPercutaneous spleen biopsySteroid pulse therapy

Tsukasa Kawaguchi、Kiyoshi Mochizuki、Takashi Kizu、Masanori Miyazaki、Takayuki Yakushijin、Shusaku Tsutsui、Eiichi Morii、Tetsuo Takehara

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Department of Gastroenterology and Hepatology, Osaka University Hospital,2-15,Yamadaoka, Suita 565-0871, Japan

Department of Pathology, Osaka University Hospital,2-15,Yamadaoka, Suita 565-0871, Japan

2012

世界胃肠病学杂志(英文版)
太原消化病研治中心

世界胃肠病学杂志(英文版)

SCI
影响因子:1.001
ISSN:1007-9327
年,卷(期):2012.18(1)
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