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Rev. argent. cir ; 114(4): 359-363, oct. 2022. graf
Article in Spanish | LILACS, BINACIS | ID: biblio-1422949

ABSTRACT

RESUMEN El pseudotumor inflamatorio hepático es una lesión muy infrecuente, sin una etiología ni patogenia claras. Su diagnóstico preoperatorio no es habitual pero, en caso de realizarse, puede evitar la cirugía. Presentamos el caso de un paciente joven, con antecedente de lupus cutáneo que, tras debutar con una pancreatitis aguda, presenta episodios de colangitis y cuyos hallazgos radiológicos no permiten descartar la presencia de un colangiocarcinoma, por lo que se realiza hepatectomía izquierda, siendo el diagnóstico histológico final de pseudotumor inflamatorio hepático.


ABSTRACT Inflammatory pseudotumors of the liver are rare and lack clear etiology and pathogenesis. The preoperative diagnosis is seldom made but it avoids unnecessary surgery. We report the case of a young male patient with a history of cutaneous lupus and episodes cholangitis after an acute pancreatitis. As the imaging tests could not rule out cholangiocarcinoma, a left liver resection was performed, and the final histologic diagnosis was inflammatory pseudotumor of the liver.


Subject(s)
Humans , Male , Adult , Granuloma, Plasma Cell/surgery , Liver Diseases , Cholangitis/complications , Cholangiopancreatography, Endoscopic Retrograde , Granuloma, Plasma Cell/pathology , Granuloma, Plasma Cell/diagnostic imaging , Hepatectomy
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