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CC BY-NC-ND 4.0 · Journal of Gastrointestinal and Abdominal Radiology 2019; 02(01): 045-048
DOI: 10.1055/s-0038-1676424
Case Report
Indian Society of Gastrointestinal and Abdominal Radiology

Hepatic Inflammatory Pseudotumor—A Diagnostic Challenge: A Case Report and Review of Literature

Ekta Maheshwari‡
1   Department of Radiology, University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States
,
Roopa Ram
1   Department of Radiology, University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States
,
Tarun Pandey‡
1   Department of Radiology, University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States
,
Gitanjali Bajaj‡
1   Department of Radiology, University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States
,
Kedar Jambhekar‡
1   Department of Radiology, University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States
› Author Affiliations Funding None.
Further Information

Publication History

Received: 19 September 2018

Accepted: 12 October 2018

Publication Date:
24 June 2019 (online)

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Abstract

Inflammatory pseudotumor (IPT) is a rare lesion of unknown origin, characterized by proliferation of fibrous connective tissue and invasion of inflammatory cells. Although benign, it has the propensity to mimic malignant masses given its nonspecific symptoms and imaging manifestations. We present a case of hepatic IPT with variable interpretation on different imaging modalities, called as abscess on computed tomography (CT) and neoplasm on ultrasound and magnetic resonance imaging (MRI), thus posing a diagnostic dilemma. Hence it is important to recognize this as a distinct clinical entity and include it in the differential of liver masses with atypical imaging findings.

Keywords

hepatic inflammatory pseudotumor - imaging - malignancy mimic
 

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