Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine)
Online ISSN : 1882-4781
Print ISSN : 1340-2242
ISSN-L : 1340-2242
Acute Exacerbation of a Hepatic Inflammatory Myofibroblastic Tumor: A Case Report
Ryuta Midorikawa, Daisuke Muroya, Kazuaki Hashimoto, Shoichiro Arai, Masanori Akashi, Yosuke Morimitsu, Fumihiko Fujita, Toru Hisaka
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2024 Volume 44 Issue 4 Pages 605-609

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Abstract

Inflammatory myofibroblastic tumor is an intermediate-grade malignancy characterized by myofibroblast proliferation and inflammatory cell infiltration, and it occasionally originates in the liver. In this case, a man in his 80s presented with fever and liver dysfunction. Abdominal CT revealed an intrahepatic mass, and liver biopsy revealed an inflammatory myofibroblastoma. The patient was transferred to another hospital for rehabilitation before surgery was scheduled. After 43 days, the patient developed jaundice, and imaging revealed enlargement of the tumor. Despite being treated in the intensive care unit for systemic inflammatory response syndrome, the patient died of acute liver failure and respiratory failure. We report an extremely rare case of a rapidly exacerbating inflammatory myofibroblastic tumor of the liver.

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© Japanese Society for Abdominal Emergency Medicine
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