Primary solitary tuberculosis of the liver (original) (raw)
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A case report: Isolated Liver Tuberculosis Y Yagmur, S Girgin, E Gedik, H Büyükbayram
Isolated liver tuberculosis is still considered a rare condition and atypical clinical presentation challenges the clinical acumen of the treating physician. There is difficulty in reaching the correct preoperative diagnosis of a nodular hepatic tuberculosis that presents as a space-occupying lesion. It is usually unsuspected and confused with primary or metastatic carcinoma of the liver. In this report, we describe a rare case of isolated liver tuberculosis without pulmonary spread.
Atypical Liver Lesions: Primary Hepatic Tuberculosis
2018
Hepatic tuberculosis is seen in 50-80% of patients with disseminated tuberculosis. However, isolated hepatic tuberculosis is rarely encountered in an immunocompetent patient, even in regions with high prevalence of tuberculosis. We report a case of a 43-year-old male who underwent triphasic computed tomography (CT) scan for an uncharacterized hypoechoic liver lesion found on ultrasound. CT scan revealed multiple ill-defined areas in segments VI and IV of the liver, which were reported as atypical liver lesions. Differentials of atypical hepatoma versus hepatic metastasis from an unknown primary were given. Subsequently, biopsy of the lesion was performed and histopathology report revealed chronic granulomatous inflammation with tuberculosis as a likely possibility. The patient was started on antituberculous therapy and responded to treatment. This case emphasizes the diagnostic difficulties of hepatic tuberculosis and the significance of considering this differential in patients wit...
Journal of Indian Association of Pediatric Surgeons, 2005
Hepatic tuberculosis is usually associated with an active pulmonary or miliary tuberculosis, but rarely localizes as a liver tumor mass. The clinical presentation of isolated liver tuberculosis is so rare and atypical that it challenges the clinical acumen of the treating physician. Diagnostic modalities like ultrasound and computed tomography can miss the diagnosis. Ultimately, the diagnosis is confirmed by demonstrating an acid fast Mycobacterium in aspirated pus or necrotic material.
Primary hepatic tuberculosis: A rare occurrence
Annals of Hepato-Biliary-Pancreatic Surgery
Primary hepatic tuberculosis is a rare entity and can closely mimic malignancy with respect to clinical presentation and imaging features. We identified five patients at a high volume tertiary care cancer center, whose clinical features and imaging closely mimicked primary liver malignancy or metastases but final histopathology was suggestive of hepatic tuberculosis. Three patients underwent a surgical resection whereas two were diagnosed on a biopsy. Anti-tuberculosis therapy was started for all the patients which was well tolerated. All patients are doing well at the time of the last follow up. This case series stresses the importance of having a high index of suspicion and preoperative biopsy in cases where imaging features are equivocal.
Isolated Hepatic Tuberculosis Presenting as Cystic-Like and Tumour-Like Mass Lesions
Case Reports in Gastroenterology, 2008
Hepatic tuberculosis is a rare manifestation of extra-pulmonary tuberculosis. Hepatic tuberculous lesions are especially mimicking tumour-like mass or cystic lesions in the liver and so can be misdiagnosed with several diseases. Histopathological examination of the specimen is essential in the diagnosis for hepatic tuberculosis. In this report, two cases with hepatic tuberculosis having cystic solid mass and abscess liver lesions are described.
Primary/local hepatic tuberculosis without dissemination
Case Reports, 2015
We present a rare case of primary hepatic tuberculosis in a 50-year-old man who presented with pain at the right hypochondrium. The diagnosis was established by fineneedle aspiration cytology (FNAC) of the primary hepatic lesions in both lobes of the liver, which was further supported by histopathological examination and tissue PCR for Mycobacterium tuberculosis in the FNAC specimens.
Pseudo-tumoral hepatic tuberculosis discovered after surgical resection
Clinics and …, 2012
Pseudo-tumoral hepatic tuberculosis is rare. It is characterized by non-specific symptoms and radiological polymorphism. Diagnosis is problematic. This article presents three cases, each clinically different from each other, that illustrate how difficult diagnosis ...
Case Report of Isolated Hepatic Tuberculosis
Bangladesh Journal of Medicine, 2015
Tuberculosis is one of the most common diseases in Bangladesh and has variable clinical manifestations. Isolated Hepatic tuberculosis is not a common disease; in fact the presentation of hepatic tuberculosis may be without having history of any active Pulmonary TB or military TB. Patient usually present without having any typical symptoms; so it is difficult for a physician to diagnose the disease quickly. Patient presenting with space occupying lesion in liver is confused with abscess, hepatoma or metastases. Here we are presenting a case report of isolated hepatic tuberculosis.
Hepatic Tuberculosis: Uncommon Presentation of A Common Disease-A Case Report with Literature Review
Hepatic tuberculosis is a rare form of tuberculosis with non specific signs and symptoms which requires a high index of suspicion to reach a diagnosis. Usually has three forms of presentation in the form of miliary tuberculosis with liver involvement, granulomatous hepatitis and local hepatic tuberculosis. Usually requires guided tissue sample with histopathological examination for diagnosis. Here we are reporting a case of hepatic tuberculosis with multiple hepatic nodules who presented with fever and non specific symptoms and treated with anti-tubercular drugs followed by resolve of signs and symptoms.
Isolated Hepatic Tuberculosis-Serohepatic Type Dr
2017
Though tuberculous infection constitutes one of the more common causes of death and morbidity in the developing world, hepatic tuberculosis is a rare presentation. Hepatic involvement, usually in the form of multiple small-sized miliary nodules, is seen along with other organ involvement. In contrast, isolated hepatic tuberculosis is seldom encountered in clinical practice. In this article we highlight about the serohepatic tuberculosis which is a rare presentation among other hepatic tuberculosis types. Uniquely, the patient had sub capsular as well as extra-capsular involvement. Diagnosis involved imaging and histopathological examination. Keyword: USG, CT, Tuberculoma, Hepatic tuberculosis.