Inflammatory pseudotumor of the liver and spleen

We report the case of a 44-year-old woman with an inflammatory pseudotumour of the liver and spleen. This concomitant association has been rarely described. Our patient presented with a 2-day history of low grade fever and pain in the right hypochondrium and lower abdomen, and an abdominal scan revealed a contrast-enhanced mass in the liver in addition to an enlarged spleen with another contrast-enhanced mass. The patient was admitted to the hospital with the diagnosis of multiple liver abscesses and a spleen mass which suggested a neoplasm such as lymphoma. The final diagnosis was made by ultrasound-guided liver mass biopsy, and splenectomy. We review the literature, and highlight the difficulties of diagnosing this entity.