ABSTRACT
No disponible
Subject(s)
Humans , Male , Middle Aged , Diverticulum/complications , Jaundice, Obstructive/etiology , Duodenal Diseases/surgery , Sphincterotomy, Endoscopic , Abdominal Pain/etiologySubject(s)
Diverticulum/complications , Duodenal Diseases/complications , Jaundice, Obstructive/etiology , Humans , Male , Middle Aged , SyndromeABSTRACT
Tumoral conditions in the round ligament of the liver are very uncommon and exhibit nonspecific manifestations, hence a high level of suspicion is necessary for their diagnosis. We report the case of a 47-year-old female patient who presented with abdominal pain for several months; imaging studies showed a lesion of indeterminate nature likely connected with the falciform ligament, and only intraoperative findings acknowledged the presence of an apparently benign tumor in the round ligament of the liver, which biopsy confirmed. Following the excision of the round ligament the patient had a favorable course. As this is a pathologically benign lesion we deem its surgical management both advisable and sufficient. However, because of its small prevalence and the scarcity of literature involving this condition, further studies would be needed to provide information on natural history, treatment, and long-term prognosis.
Subject(s)
Leiomyoma/surgery , Liver Neoplasms/surgery , Round Ligaments/surgery , Female , Humans , Leiomyoma/diagnostic imaging , Leiomyoma/pathology , Liver Neoplasms/diagnostic imaging , Liver Neoplasms/pathology , Magnetic Resonance Imaging , Middle Aged , Round Ligaments/diagnostic imaging , Round Ligaments/pathology , Tomography, X-Ray ComputedABSTRACT
No disponible
Subject(s)
Female , Humans , Middle Aged , Leiomyoma/complications , Leiomyoma/surgery , Leiomyoma , Round Ligaments/pathology , Round Ligaments/surgery , Round Ligaments , Abdominal Pain/etiology , Abdominal Pain , Hemangioma, Cavernous/complications , Hemangioma, Cavernous , Magnetic Resonance ImagingABSTRACT
BACKGROUND: Inflammatory pseudotumour is a rare entity, considered benign, and characterised by inflammatory cell mesenchymal proliferation. CLINICAL CASE: The case is presented 70 year-old man with fever of unknown origin syndrome. He was diagnosed with liver abscesses (one segment IV, adjacent to gallbladder fundus and segment VI), who progressed slowly after antibiotic treatment. In the absence of a diagnosis, although fine needle puncture-aspiration and different imaging tests were performed, elective surgery was decided. The intra-operative histopathology reported the existence of an inflammatory pseudotumour. CONCLUSIONS: Inflammatory pseudotumours are clinically classified into different types according to their aetiology, varying therapeutic management based on the same. It is very difficult to diagnose because of the absence of symptoms, blood disorders, or specific radiological findings. Definitive diagnosis often requires histopathological confirmation, in most cases by percutaneous liver puncture, but sometimes exploratory laparotomy or even performing a hepatectomy for confirmation is necessary. The natural history of inflammatory pseudotumour is its regression; thus conservative management may be used through regular checks until resolution, or can be treated with antibiotics, anti-inflammatories and even corticosteroids. Surgical resection is indicated for persistent unresolved systemic symptoms despite medical treatment, in those situations where growth is evident, with or without symptoms, when involving the hepatic hilum, and finally, in case where the possibility of malignancy cannot be ruled out.
