2 cases of inflammatory pseudotumor of the liver.docVIP

 PAGE \* MERGEFORMAT 7 2 cases of inflammatory pseudotumor of the liver Author: Xie Jun-pei, Sang Qiao-fang, Dai Yi-chen, Chen Chang-xing, FU Yu-card, Zeng Wei, Lian Qing-Na, ZHU Xiao-3 [Keywords:] hepatic inflammatory pseudotumor; diagnosis; treatment Inflammatory pseudotumor is a fibrous connective tissue hyperplasia with a large number of chronic inflammatory cell infiltration in focal lesions, clinical or radiographic manifestations have similar benign tumors, inflammatory proliferative disease, can occur in the lung, kidney, ovary, , stomach, pancreas, etc., rarely occur in the liver, easily misdiagnosed. Inflammatory pseudotumor of the liver (IPL) is a rare benign lesion of the liver due to the lack of clinical and imaging features, often difficult to identify with malignant tumors such as liver abscess, most can be diagnosed only after surgery. Hospital treated two cases of pathologically confirmed IPL, these are as follows. 1 Case Case 1: Female, 36 years old. Persistent right upper quadrant pain 2 more than a month with 5 kg weight loss was admitted to hospital on several occasions outside the hospital line of B-ultrasonic examination were Hint: right hepatic space occupying substance inside, to consider the Department of liver tumors. Past without hepatitis, tuberculosis history, no history of exposure to schistosomiasis. Examination: body temperature 37.8 ℃ , skin, sclera without yellow dye, less than superficial lymph node enlargement, no liver palms and spider angioma. Heart and lung auscultation negative. Abdomen soft, liver, ribs on the right subclavian central line of about 8 cm to reach the surface less smooth, quality hardware, tenderness not obvious, spleen less than ribs, mobility, voiced negative. Routine Tip: WBC 6.5 * 109 / L, N 0.5, L 0.5, Hb 97 g / L. ESR 25 mm / h, ALT 38 IU / L, AST30 IU / L, r  GT80 IU / L, ALP 153 IU / L, normal coagulation indicators, stool routine, urine routine and normal, fecal occult blood negative. AF