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Inflammatory pseudotumor of the liver revealing gynecological Corynebacterium infection
Mathieu Bernard1, Isabelle Marie, Ghassan Riachi
1Department of Internal Medicine, Centre Hospitalier Universitaire de Rouen-Boisguillaume, France.
Abstract:
Inflammatory pseudotumor (IPL) of the liver is a rare benign clinicopathologic entity, which has been associated with infectious conditions, including alimentary, digestive tract and mouth infections. We report a new case, where a patient developed hepatic IPL that revealed endometritis related to Corynebacterium infection; the patient had a favorable outcome of hepatic IPL after appropriate antibiotic therapy initiation. Our findings therefore confirm that antibiotic therapy may be effective in patients with hepatic IPL associated with underlying infections, avoiding unnecessary surgery. Our data also indicate that when hepatic IPL is observed, a complete clinical evaluation, including gynecological evaluation, should be systematically performed.
Insights
Inflammatory pseudotumor (IPL) of the liver, a rare benign condition, can be linked to infections. Prompt antibiotic therapy for associated Corynebacterium endometritis led to a favorable outcome, avoiding surgery.
Area of Science:
- Hepatology
- Pathology
- Infectious Diseases
Background:
- Inflammatory pseudotumor (IPL) of the liver is a rare benign entity.
- IPL is often associated with various infections, including those of the digestive tract and mouth.
Observation:
- A case of hepatic IPL was observed in a patient with concurrent endometritis.
- The endometritis was found to be related to Corynebacterium infection.
Findings:
- The patient experienced a favorable outcome of hepatic IPL following the initiation of appropriate antibiotic therapy.
- Antibiotic therapy proved effective in managing hepatic IPL associated with underlying Corynebacterium infection.
Implications:
- Antibiotic therapy can be effective for hepatic IPL linked to infections, potentially avoiding surgical intervention.
- A comprehensive clinical evaluation, including a gynecological assessment, is recommended when hepatic IPL is diagnosed.
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