A 77-year-old Japanese @entity1 was transported to a nearby hospital due to @entity490 and transient @entity909 . Abdominal computed tomography (CT) suggested hemoperitoneum and hepatic nodule. She was conservatively treated. Contrast-enhanced CT two months later revealed an increased mass size, and the enhancement pattern suggested the possibility of @entity157 ( @entity157 ). Under a clinical diagnosis of @entity157 (TACE) was performed. A subsequent imaging study revealed that most of the @entity4831 used for the embolization was washed out. Therefore, surgical resection was performed. Histologically, the nodule contained numerous inflammatory cells including small lymphocytes, plasma cells and macrophages. Notably, epithelioid granulomatous features with multinucleated giant cells were observed in both the nodule and background liver. Some of the multinucleated giant cells contained oil lipid. Among the infiltrating inflammatory cells, spindle-shaped, histiocytoid or @entity5 cells with eosinophilic cytoplasm were found. The @entity5 cells were positive for Melan A and HMB45. The nodule contained many IgG4-positive plasma cells; these were counted and found to number 72.6 cells/HPF (range: 61-80). The calculated IgG4:IgG ratio was 33.2%. The nodule was finally diagnosed as previously ruptured inflammatory @entity359 modified by granulomatous reaction after TACE.

Granulomatous reaction in hepatic inflammatory XXXX after chemoembolization and spontaneous rupture.

@entity1 :: ('9606', 'Species') :: ['woman'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumor', 'myoid tumor'] @entity909 :: ('MESH:D014474', 'Disease') :: ['loss of consciousness'] @entity4831 :: ('MESH:D004998', 'Chemical') :: ['lipiodol'] @entity490 :: ('MESH:D015746', 'Disease') :: ['sudden abdominal pain'] @entity359 :: ('MESH:D018207', 'Disease') :: ['angiomyolipoma'] @entity157 :: ('MESH:D006528', 'Disease') :: ['HCC', 'HCC, transcatheter arterial chemoembolization', 'hepatocellular carcinoma']
@entity359 :: (MESH:D018207,Disease) :: ['angiomyolipoma']
