AP-HP, Groupe Henri-Mondor Albert-Chenevier, Radiology department, 51, Avenue du Marechal-de-Lattre de Tassigny, 94010 Créteil, France.
Clin Res Hepatol Gastroenterol. 2013 Apr;37(2):e51-7. doi: 10.1016/j.clinre.2012.08.011. Epub 2012 Dec 6.
Inflammatory pseudotumor (IPT) of the liver is a rare benign lesion for which imaging diagnosis remains a challenge. We report the case of a 39-year-old Algerian woman, who presented epigastric pains combined with fever and jaundice. Ultrasound, CT scan and MRI showed the presence of a 10 cm-long multi-septated cystic mass of the left lobe, with peripheral enhancement. A left-hepatectomy was performed and histopathology revealed an IPT of the liver. During the 4 following years, the patient had three other recurrences of liver IPT at various locations distinct from the original, revealed by the same clinical symptoms. During these relapses, the lesions did regress thanks to a medical treatment. This observation underlines the difficulty of the diagnosis and treatment of liver IPT.
肝脏炎性假瘤（IPT）是一种罕见的良性病变，其影像学诊断仍然具有挑战性。我们报告了一例 39 岁的阿尔及利亚女性病例，其表现为上腹痛，伴有发热和黄疸。超声、CT 扫描和 MRI 显示左叶存在 10 厘米长的多分隔囊性肿块，周围增强。行左肝切除术，组织病理学显示肝脏炎性假瘤。在接下来的 4 年中，患者在不同部位出现了另外 3 次肝 IPT 复发，与最初的部位不同，这些复发均通过相同的临床症状表现出来。在这些复发中，病变通过药物治疗得到了缓解。这一观察结果强调了肝脏 IPT 的诊断和治疗的难度。
