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Intravascular Large B-cell Lymphoma Mimicking Hepatobiliary Infection: A Case Report and Literature Review

Authors :
Hirofumi Fujishiro
Tatsuya Miyake
Tomonori Imaoka
Masatoshi Kataoka
Satoshi Yamanouchi
Aya Fujiwara
Satoshi Kotani
Yoshikazu Kinoshita
Kiyoka Sawada
Masaki Tanaka
Misaki Yoshimura
Kousuke Tsukano
Youichi Miyaoka
Ryusaku Kusunoki
Naruaki Kohge
Shinsuke Suemitsu
Shunji Ishihara
Hideyuki Ohnuma
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.

Details

Language :
English
ISSN :
13497235 and 09182918
Volume :
58
Issue :
13
Database :
OpenAIRE
Journal :
Internal Medicine
Accession number :
edsair.doi.dedup.....b389ecdff6bb9018d38a4a87f2a9da03