ArticleDiagnostics (Basel, Switzerland)2025
Eosinophilic Liver Abscess Mimicking Intrahepatic Cholangiocarcinoma on 18F-FDG PET-CT: A Case Report.
Article in Diagnostics (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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2 citing papers in PubMed.
- mpMRI-based clinic-radiomics-deep learning model integrating lesion and PPAT for predicting csPCa in PI-RADS category 3 lesions: a multicenter study.International urology and nephrology · 2026Article
- Primary Angiosarcoma of the Abdominal Aorta Following Endovascular Aneurysm Repair Mimicking Vascular Graft Infection.Diagnostics (Basel, Switzerland) · 2026Article
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6 authors.
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Abstract
Background and Clinical Significance: Eosinophilic liver abscess (ELA) is a rare benign condition that can mimic malignant liver tumors on imaging studies. The diagnostic challenge is further compounded when 18F-FDG PET-CT demonstrates high metabolic activity. Case Presentation: A 39-year-old man presented with abdominal pain, jaundice, and marked peripheral eosinophilia (34%). Imaging revealed a single liver mass with intense FDG uptake (SUVmax 10.8), highly suspicious for intrahepatic cholangiocarcinoma (ICC). Parasitic serologies were negative. Surgical resection revealed eosinophilic infiltration without malignancy. The patient remained disease-free at 1-year follow-up. Conclusions: ELA can closely mimic ICC on PET-CT, with high FDG uptake representing a significant diagnostic pitfall. This case underscores the importance of considering ELA in the differential diagnosis of hypermetabolic liver masses in patients with peripheral eosinophilia and highlights that surgical resection remains a reasonable approach when malignancy cannot be excluded.
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