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Case Reports
. 2022 May-Jun;27(3):368-370.
doi: 10.4103/jiaps.JIAPS_58_21. Epub 2022 May 12.

Pediatric PseudoTumoral Hepatic Tuberculosis. A Great Mimicker!!

Nitin James Peters  1 , Ram Samujh  1 , Vidhya Gunasekaran  1 , K S Sodhi  2 , Ritambara Duseja  3
Affiliations
Case Reports

Pediatric PseudoTumoral Hepatic Tuberculosis. A Great Mimicker!!

Nitin James Peters et al. J Indian Assoc Pediatr Surg. 2022 May-Jun.

Abstract

Pediatric liver masses are rare and difficult to treat. Common liver masses in children include hepatoblastoma, hemangiomas, liver abscesses, and hydatid disease. Isolated liver tuberculosis (TB) is rare in children and can have variable clinical presentations. We report a child with isolated liver TB masquerading as a liver tumor.

Keywords: Antitubercular therapy; pediatric liver mass; pseudotumoral hepatic tuberculosis; undifferentiated embryonal sarcoma.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
(a) Multiloculated heterogeneous mass lesion of size 12 cm × 7 cm × 11 cm involving segments IV and V on Contrast-enhanced computed tomography scan. (b) T2 hyperintense T1 hypointense with postcontrast enhancement within the septated areas and in the periphery suggestive of malignancy
Figure 2
Figure 2
(a) Predominantly neutrophils, necrotic material, and lymphocyte infiltration. PAS and Gram stain negative. (b) Ziehl–Neelsen staining showed acid-fast bacilli suggestive of tuberculosis
See this image and copyright information in PMC

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