A CASE OF INFLAMMATORY PSEUDOTUMOR OF THE LIVER DUE TO CHOLANGITIS AFTER PANCREATODUODENECTOMY

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A 73-year-old woman was admitted to the hospital because of abdominal pain, fever, and appetite loss lasting from September 2002. There was a previous history of undergoing pylorus preserving pancreatoduodenectomy for cancer of the duodenal papilla in January 1999. After admission close exploration offered a suspicion of intrahepatic bile duct cancer, and a left lobectomy of the liver was carried out. On the removed material, a white and solid tumor was identified. Pthological diagnosis was inflammatory pseudotumor of the liver. It was etiologically thought that this inflammatory pseudotumor of the liver might be caused by cholangitis after pancreatoduodenectomy.In a review of the literature, three cases of inflammatory pseudotumor of the liver after pancreatoduodenectomy, including this case, have been reported in Japan, and hepatectomy was performed in all the three cases. In order to avoid excessive surgical stress, it is important to make correct diagnosis after full consideration of symptoms, hematological tests, imaging and pathological findings, keeping a probable diagnosis of inflammatory pseudotumor of the liver in mind.
日本臨床外科学会の論文