Recurrent Hepatic Inflammatory Pseudotumor in Asynchronism After Surgery of Inflammatory Pseudotumor Associated With Granulomatous Cholangitis
Bibliographic record
Abstract
A 64-year-old man was referred to our hospital for investigation of thickening of the gallbladder wall and hepatic mass. Repeated endoscopic ultrasound-guided fine-needle aspiration examinations of these lesions excluded malignant diseases. Cholecystectomy and resection of lateral section confirmed xanthogranulomatous cholecystitis and inflammatory pseudotumor (IPT) associated with granulomatous cholangitis. Ten months after surgery, a new lesion appeared in the liver medial section, associated with fluorodeoxyglucose accumulation. After performing resection of the affected segment, recurrent IPT related with granulomatous cholangitis was diagnosed. No subsequent recurrence was seen during follow-up. This represents the first report of recurrent hepatic IPT originating from granulomatous cholangitis after resection of xanthogranulomatous cholecystitis and IPT caused by granulomatous cholangitis. J Med Cases. 2019;10(2):41-45 doi: https://doi.org/10.14740/jmc3245
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.003 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".