Inflammatory pseudotumor of the liver complicated with recurrent gouty arthritis

Inflammatory pseudotumor (IPT) of the liver is a rare benign lesion of unkn own etiology and is often accompanied by fever. Unexplained persistent feve r unresponsive to antibiotics developed in a 70-year-old man suffering from intractable recurrent gouty arthritis. Ga-67-scintigraphy disclosed intens e focal uptake in the upper abdomen, The lesion in the left lobe of the liv er was an ill-defined hypodensity mass on computed tomographic scan and was enhanced on dynamic magnetic resonance imaging. The tumor was surgically r emoved and a diagnosis of IPT was made, Fever and arthritis resolved comple tely after surgery. Possible interaction between IPT of the liver and gouty arthritis was suggested.