Puri Y, Lytras D, Luong TV, Fusai GK. Rare presentation of self-resolving multifocal inflammatory pseudo-tumour of liver. World J Clin Cases 2014; 2(1): 5-8 [PMID: 24527425 DOI: 10.12998/wjcc.v2.i1.5]
Corresponding Author of This Article
Yogesh Puri, MS, MRCS, Ed, Clinical Fellow HPB and Liver Transplant Unit, Royal Free Hospital, Pond Street, London NW32QG, United Kingdom. dryspuri@gmail.com
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World J Clin Cases. Jan 16, 2014; 2(1): 5-8 Published online Jan 16, 2014. doi: 10.12998/wjcc.v2.i1.5
Rare presentation of self-resolving multifocal inflammatory pseudo-tumour of liver
Yogesh Puri, Dimitrios Lytras, Tu Vihn Luong, Giuseppe Kito Fusai
Yogesh Puri, Dimitrios Lytras, Clinical Fellow HPB and Liver Transplant Unit, Royal Free Hospital, London NW32QG, United Kingdom
Tu Vihn Luong, Department of Cellular Pathology, Royal Free London NHS Foundation Trust, London NW3 2QG, United Kingdom
Giuseppe Kito Fusai, Honorary Senior Lecturer University College London, HPB and Liver Transplant Unit, Royal Free Hospital, London NW32QG, United Kingdom
Author contributions: Puri Y contributed basic research, reviewing of literature, formatting and designing article; Lytras D critical reviewed of article in formatting and language; Luong TV provided histopathology pictures and reviewed article; Fusai GK guided throughout the article.
Correspondence to: Yogesh Puri, MS, MRCS, Ed, Clinical Fellow HPB and Liver Transplant Unit, Royal Free Hospital, Pond Street, London NW32QG, United Kingdom. dryspuri@gmail.com
Telephone: +44-20-77940500 Fax: +44-20-74726226
Received: October 15, 2013 Revised: December 21, 2013 Accepted: January 6, 2014 Published online: January 16, 2014
Abstract
Inflammatory pseudo-tumour (IPT) of the liver is a rare condition with the appearance of a tumour-like space occupying lesion. Aetiology and natural history is not known for these benign lesions, as they are commonly diagnosed as malignant lesions and frequently undergo surgical resection since spontaneous resolution is very rare. Multifocal IPT involving both lobes of liver are rarely reported. Here we report a unique case of multifocal IPT of the liver which resolved spontaneously within 5 wk period.
Core tip: Inflammatory pseudo-tumour (IPT) is extremely rare pre-operative diagnosis. It’s a benign condition which does not require surgical management and it rarely self resolves. Our case so unique in appearance that IPT generally are solitary and if multiple generally confined on lobe of liver. In our case this tumour mimicked metastasis and presented in bilobar presentation. It resolved in 5 wk something which is never reported in medical literature.