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Intravascular Large B-cell Lymphoma Mimicking Hepatobiliary Infection: A Case Report and Literature Review
- Source :
- Internal Medicine
- Publication Year :
- 2019
- Publisher :
- The Japanese Society of Internal Medicine, 2019.
-
Abstract
- Intravascular large B-cell lymphoma (IVLBCL) frequently involves the hepatobiliary system, but its clinical course and pathophysiology are still not fully known. We herein describe a case of IVLBCL mimicking acute hepatobiliary infection. An 85-year-old woman was admitted because of fever and epigastric pain, and she was diagnosed to have acute acalculous cholecystitis based on gallbladder wall thickening with fluid collection. The gallbladder swelling regressed within several days, and areas of intrahepatic hypoperfusion appeared. Inflammation continued despite treatment with antibiotics, and she died within 21 days. An autopsy examination revealed IVLBCL. IVLBCL can present as acute cholecystitis with an improvement in the imaging findings and the presence of a subsequent liver mass.
- Subjects :
- Pathology
medicine.medical_specialty
Gallbladder wall thickening
Case Report
intravascular large B-cell lymphoma
acalculous cholecystitis
030204 cardiovascular system & hematology
Epigastric pain
Liver mass
03 medical and health sciences
0302 clinical medicine
Fatal Outcome
Internal Medicine
medicine
Humans
Aged, 80 and over
Intravascular large B-cell lymphoma
business.industry
Gallbladder
Liver Diseases
General Medicine
medicine.disease
Pathophysiology
Lymphoma
medicine.anatomical_structure
030211 gastroenterology & hepatology
Female
Kidney Diseases
Lymphoma, Large B-Cell, Diffuse
business
Acute acalculous cholecystitis
Subjects
Details
- Language :
- English
- ISSN :
- 13497235 and 09182918
- Volume :
- 58
- Issue :
- 13
- Database :
- OpenAIRE
- Journal :
- Internal Medicine
- Accession number :
- edsair.doi.dedup.....b389ecdff6bb9018d38a4a87f2a9da03