Isolated tuberculosis of the liver: a diagnostic challenge

M Malik; L Kurban; Graeme Ian Murray; B Alkari

doi:10.1136/bcr.12.2010.3654

Isolated tuberculosis of the liver: a diagnostic challenge

M Malik, L Kurban, Graeme Ian Murray, B Alkari

Applied Medicine

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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.

Original language	English
Journal	BMJ Case Reports
DOIs	https://doi.org/10.1136/bcr.12.2010.3654
Publication status	Accepted/In press - 2011

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10.1136/bcr.12.2010.3654

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title = "Isolated tuberculosis of the liver: a diagnostic challenge",

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. ",

author = "M Malik and L Kurban and Murray, {Graeme Ian} and B Alkari",

year = "2011",

doi = "10.1136/bcr.12.2010.3654",

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TY - JOUR

T1 - Isolated tuberculosis of the liver

T2 - a diagnostic challenge

AU - Malik, M

AU - Kurban, L

AU - Murray, Graeme Ian

AU - Alkari, B

PY - 2011

Y1 - 2011

N2 - 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.

AB - 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.

U2 - 10.1136/bcr.12.2010.3654

DO - 10.1136/bcr.12.2010.3654

M3 - Article

JO - BMJ Case Reports

JF - BMJ Case Reports

ER -

Isolated tuberculosis of the liver: a diagnostic challenge

Abstract

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