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Case Reports
. 2011 Jun 15:2011:bcr1220103654.
doi: 10.1136/bcr.12.2010.3654.

Isolated tuberculosis of the liver: a diagnostic challenge

Momin Malik  1 , Lutfi Kurban, Graeme I Murray, Bassam Alkari
Affiliations
Case Reports

Isolated tuberculosis of the liver: a diagnostic challenge

Momin Malik et al. BMJ Case Rep. .

Abstract

A 46-year-old gentleman, being investigated for symptoms of generalised weakness, low-grade fever and weight loss, was found to have a large, infiltrative mass of the liver on CT scan. The radiological impression was that of advanced hepatic malignancy with involvement of lesser curve of the stomach and regional lymph nodes. Multiple biopsy attempts failed to yield an adequate tissue sample for histopathological diagnosis. Surgery was planned for left hemihepatectomy with resection of the hepatogastric ligament and partial gastrectomy. Frozen section of a peroperative tissue sample confirmed the diagnosis of hepatic tuberculosis (TB). The granulomatous area was debrided and anti-TB treatment was started postoperatively. Recovery was unremarkable and the patient is currently asymptomatic.

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Conflict of interest statement

Competing interests None.

Figures

Figure 1
Figure 1
Coronal reformat contrast enhanced CT of abdomen.
Figure 2
Figure 2
T1-weighted postcontrast MRI.
Figure 3
Figure 3
Microscopy of lesion showing a typical granuloma with surrounding fibrosis.
Figure 4
Figure 4
Resected specimen – stained for histopathology.
See this image and copyright information in PMC

References

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    1. Health Protection Agency Tuberculosis Update. UK: Health Protection Agency, 2010
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    1. Singh D, Singh S, Raut SB, et al. Isolated liver tuberculosis: a case report. Pediatr Surg Int 2004;20:727–8 - PubMed

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