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Primary hepaticobiliary tuberculosis mimicking gall bladder carcinoma with liver metastasis: a case report
- Source :
- The Pan African Medical Journal, Vol 32, Iss 68 (2019)
- Publication Year :
- 2019
- Publisher :
- The Pan African Medical Journal, 2019.
-
Abstract
- Primary hepatic tuberculosis is a rare presentation and sporadically reported in the literature, mostly from our part of the world. Sometimes the presentation can be atypical and mimics hepatic tumor and poses diagnostic challenge. We, herein, present a case of a 58-year-old man who presented to us with abdominal pain and weight loss. Raised serum alkaline phosphatase (ALP) and imaging raised a suspicion of gall bladder carcinoma with hepatic invasion. Peroperative frozen section revealed hepatic chronic granulomatous inflammation with caseous necrosis consistent with the diagnosis of hepatic tuberculosis. Surgery was postponed and he was put on antituberculous treatment. It is important to consider tuberculosis in the differential diagnosis of the space occupying lesion of liver in a patient with vague symptoms and abnormal findings on imaging.
- Subjects :
- carcinoma
frozen section
gall bladder
liver biopsy
tuberculosis
Medicine
Subjects
Details
- Language :
- English, French
- ISSN :
- 19378688
- Volume :
- 32
- Issue :
- 68
- Database :
- Directory of Open Access Journals
- Journal :
- The Pan African Medical Journal
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.fb9e1112e194337b1636dd497fea1d3
- Document Type :
- article
- Full Text :
- https://doi.org/10.11604/pamj.2019.32.68.10519