Der inflammatorische Pseudotumor - eine schwierige Differenzialdiagnose

G. Schuessler; C. Fellbaum; F. Fauth; V. Jacobi; A. Schmidt-Matthiesen; A. Ignee; C. F. Dietrich

doi:10.1055/s-2005-858530

Ultraschall in der Medizin - European Journal of Ultrasound, Table of Contents

Ultraschall Med 2006; 27(3): 273-279
DOI: 10.1055/s-2005-858530

Kasuistik

Der inflammatorische Pseudotumor - eine schwierige Differenzialdiagnose

The Infammatory Pseudotumour - an Unusual Liver TumourG. Schuessler¹ , C. Fellbaum² , F. Fauth³ , V. Jacobi⁴ , A. Schmidt-Matthiesen⁵ , A. Ignee¹ , C. F. Dietrich¹

¹Medizinische Klinik II, jetzt: Innere Medizin 2, Caritaskrankenhaus Bad Mergentheim, Klinikum der Johann-Wolfgang-Goethe-Universität, Frankfurt am Main
²Senkenbergisches Institut für Pathologie, Klinikum der Johann-Wolfgang-Goethe-Universität, Frankfurt am Main
³Medizinische Klinik III, Klinikum der Johann-Wolfgang-Goethe-Universität, Frankfurt am Main
⁴Institut für Interventionelle Radiologie, Klinikum der Johann-Wolfgang-Goethe-Universität, Frankfurt am Main
⁵Chirurgische Klinik, Klinikum der Johann-Wolfgang-Goethe-Universität, Frankfurt am Main

Abstract

Zusammenfassung

Wir berichten über einen Patienten, in dessen Leber durch Computertomographie und Ultraschall maligne imponierende Raumforderungen und vergrößerte perihepatische Lymphknoten beschrieben wurden. Unter dem Verdacht eines Tumorleidens und zur Gewinnung einer histologischen Probe bei unklarem Primärtumor wurde der Patient laparotomiert. Histologisch konnte ein inflammatorischer Pseudotumor der Leber nachgewiesen werden. Diese seltene Erkrankung kann Symptome wie Fieber, Oberbauchbeschwerden, Erbrechen, Gewichtsverlust und allgemeines Krankheitsgefühl verursachen, die häufig an einen malignen Tumor oder einen Abszess denken lassen. Die definitive Diagnostik sollte histologisch erfolgen.

Abstract

We report on a 49-year-old male patient who was suspected to have a malignant liver tumour with enlarged perihepatic lymph nodes because of CT and ultrasound scanning. To verify the diagnosis and procure a histological specimen, the patient underwent laparotomy. Histologically, an inflammatory pseudotumour could be confirmed. This is a rare disease which can present with fever, abdominal pain, vomiting and weight loss indicating malignancy or abscess. The definite diagnosis is often only verified by surgery.

Schlüsselwörter

inflammatorischer Pseudotumor - Feinnadelpunktion - Ultraschall - MRT - CT

Key words

Inflammatory pseudotumour - fine needle biopsy - ultrasound - MRI - CT

Full Text

References

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Prof. Dr. med. Christoph F. Dietrich

Innere Medizin 2, Caritaskrankenhaus Bad Mergentheim

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