Open Access[Lymphoplasmacytic inflammatory pseudotumor of the liver
Author(s) -
Eduardo Valdivielso Cortázar,
Jordi Antón López,
Loreto Yáñez González-Dopeso,
Mandy Palomares,
Benito González Conde,
P Alonso Aguirre
Publication year - 2016
Publication title -
anales del sistema sanitario de navarra
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.175
H-Index - 23
eISSN - 2340-3527
pISSN - 1137-6627
DOI - 10.23938/assn.0263
Subject(s) - medicine , differential diagnosis , cholecystectomy , disease , liver biopsy , general surgery , radiology , hepatic diseases , biopsy , inflammatory pseudotumor , pathology , lesion
We present the case of a middle-aged woman with antecedents of cholecystectomy and several episodes of resi-dual coledocolitiasis resolved endoscopically. She attended Emergency Services due to a new clinical picture of abdo-minal pain and alteration of hepatic enzymes. Image tests showed lesions that suggested hepatic abscesses without ruling out a malign origin. Given this doubt it was decided to carry out a thick needle biopsy obtaining a diagnosis of an inflammatory pseudotumour of the liver related to IgG4-related disease. This is an infrequent entity but must be taken into consideration because - unlike malign pathology, which is the main differential diagnosis - its behaviour is benign, with a good evolution with medical treatment. That is why a suitable diagnosis is vital to avoid aggressive, diagnostic-therapeutic procedures.