Inflammatory pseudotumor of liver secondary to migrated fishbone - a rare cause with an unusual presentation (EN)

Chandramohan, Servarayan Murugesan

Rathinasamy, Arunachalam

Duraisamy, Appasamy Benet

Srinivasan, Ulagendra Perumal

Ilango, Sethu

A 35-year-old woman presented with a history of vague epigastric pain which lasted for one day. She had no other gastrointestinal symptoms and had an unremarkable past history and physical examination. An ultrasound scan abdomen showed a 3x3.5 cm mass in the left lobe of liver. A CT scan showed an abnormal hypodense lesion with mild enhancement in the arterial phase, with a central calcification. Complete blood count, liver function test and alpha-fetoprotein were normal. A left lateral segmentectomy was performed after adequate pre-operative assessment. The specimen contained a 3 cm long fishbone. The post-operative period was uneventful. Histopathological examination revealed chronic non-specific inflammation with fibrosis. Inflammatory pseudotumor of liver is a rare benign tumor with uncertain etiopathogenesis. Suggested etiologies include a septic or a viral origin and it can occur after migration of sharp objects, including migrated fishbone. Inflammatory pseudotumor of liver can be a diagnostic challenge and may end up in major resection.Keywords Foreign body, fish bone, inflammatory pseudotumor (EN)

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Ελληνική Γαστροεντερολογική Εταιρία

Annals of Gastroenterology

Case Reports

Αγγλική γλώσσα

2012-12-21

http://www.annalsgastro.gr/index.php/annalsgastro/article/view/1192

Hellenic Society of Gastroenterology (EN)

1792-7463

1108-7471

Annals of Gastroenterology; Volume 26, No 1 (2013); 84 (EN)