Inflammatory pseudotumor of the liver complicated with recurrent gouty arthritis. |
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Authors: | T Takahashi T Haneda T Nagano Y Kawahito Y Mori K Senga K Nakamura T Ishiguro K Imai |
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Affiliation: | Department of Internal Medicine, Mikasa City Hospital, Mikasa. |
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Abstract: | Inflammatory pseudotumor (IPT) of the liver is a rare benign lesion of unknown etiology and is often accompanied by fever. Unexplained persistent fever unresponsive to antibiotics developed in a 70-year-old man suffering from intractable recurrent gouty arthritis. 67Ga-scintigraphy disclosed intense focal uptake in the upper abdomen. The lesion in the left lobe of the liver was an ill-defined hypodensity mass on computed tomographic scan and was enhanced on dynamic magnetic resonance imaging. The tumor was surgically removed and a diagnosis of IPT was made. Fever and arthritis resolved completely after surgery. Possible interaction between IPT of the liver and gouty arthritis was suggested. |
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