Case Report
Copyright ©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Jul 28, 2015; 21(28): 8730-8738
Published online Jul 28, 2015. doi: 10.3748/wjg.v21.i28.8730
Hepatic inflammatory pseudotumor presenting in an 8-year-old boy: A case report and review of literature
Hussa Al-Hussaini, Haya Azouz, Ahmed Abu-Zaid
Hussa Al-Hussaini, Department of Pathology and Laboratory Medicine, King Faisal Specialist Hospital and Research Centre, Riyadh 11211, Saudi Arabia
Haya Azouz, Ahmed Abu-Zaid, College of Medicine, Alfaisal University, Riyadh 11533, Saudi Arabia
Author contributions: Al-Hussaini H, Azouz H and Abu-Zaid A reviewed the literature and drafted the manuscript; Al-Hussaini H, Azouz H and Abu-Zaid A contributed to the research conception and design, acquired and analyzed the data, and prepared the radiology; Al-Hussaini H prepared all pathology-related figures; all authors edited and revised the manuscript for intellectual content and approved the final version of manuscript.
Institutional review board statement: The publication of this manuscript has been approved by the Research Advisory Council at the King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
Informed consent statement: An informed written consent was provided by the boy’s legal guardian (father) to publish this manuscript.
Conflict-of-interest statement: The authors declare no conflicts of interest regarding the production of this article. The authors have no personal financial or institutional interests in any of the drugs, materials, or devices described in this article.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Ahmed Abu-Zaid, MBBS, College of Medicine, Alfaisal University, PO Box 50927, Riyadh 11533, Saudi Arabia. aabuzaid@live.com
Telephone: +966-11-2157687 Fax: +966-11-2157611
Received: December 17, 2014
Peer-review started: December 17, 2014
First decision: January 22, 2015
Revised: February 22, 2015
Accepted: March 30, 2015
Article in press: March 31, 2015
Published online: July 28, 2015
Core Tip

Core tip: Because hepatic inflammatory pseudotumors (IPTs) are considered benign lesions and their natural clinical course advances toward regression, it is extremely critical to establish the most accurate diagnosis and not to regard them as malignant neoplasms that may lead to needless surgical excisions. However, accurately diagnosing hepatic IPTs can be very challenging, likely attributable to the fact that the clinical presentation and radiological appearances are nonspecific and cannot be certainly distinguished from malignant neoplastic processes. Management options include conservative treatment, and if failed, surgical resection. Histopathological and immunohistochemical analysis of the hepatic lesion yields the definitive diagnosis.