[Multiple inflammatory liver pseudotumors and Enterococcus durans bacteremia]

Area of Science:

• Hepatology
• Oncology
• Pathology

Background:

• Inflammatory pseudotumors (IPTs) are uncommon benign lesions with diverse clinical presentations.
• They are frequently misdiagnosed as malignant neoplasms due to overlapping clinical and imaging features.
• Hepatic IPTs are particularly rare, posing diagnostic challenges for clinicians.

Observation:

• A patient presented with symptoms suggestive of multiple hepatic abscesses.
• Initial investigations led to a suspicion of malignant liver neoplasms.
• Percutaneous biopsy was crucial for the definitive diagnosis of an inflammatory pseudotumor.

Findings:

• The diagnosed hepatic inflammatory pseudotumor responded well to prolonged antibiotic therapy.
• Complete resolution of the lesion was achieved with conservative management.
• This case underscores the importance of considering IPTs in the differential diagnosis of liver masses.

Implications:

• Accurate diagnosis of hepatic inflammatory pseudotumors is essential to avoid unnecessary aggressive treatments.
• Antibiotic therapy can be effective in managing hepatic inflammatory pseudotumors.
• Further research into the pathogenesis and optimal management strategies for IPTs is warranted.