A Case Report of Primary Hepatic Tuberculosis

Authors

DOI:

https://doi.org/10.22516/25007440.921

Keywords:

Hepatic tuberculosis, Mycobacterium tuberculosis, Cholangiocarcinoma

Abstract

This case report presents an incidental finding of primary tuberculosis in the liver of a 54-year-old female patient who had a history of multiple hospital admissions due to abdominal pain, jaundice, persistent fever, nausea with vomiting, weight loss, and asthenia. The evaluation involved considering differential diagnoses of cholangiocarcinoma, Caroli’s disease, hepatocellular carcinoma, and hepatic tuberculosis based on the patient’s history, imaging studies, and laboratory tests. The aim of this report is to provide healthcare professionals with a new diagnostic perspective when encountering patients with this ambiguous presentation, even in regions with low epidemiological incidence. Hepatic tuberculosis should be included in the differential diagnosis of patients with focal intrahepatic lesions or liver abscesses who have a history of recurrent hospitalizations and evidence on imaging studies.

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Author Biographies

Noemí Acevedo Rodríguez, Pontificia Universidad Católica Madre y Maestra

Nutrióloga clínica, Doctora en medicina. : Docente y Asistente de Investigación en la Escuela de Medicina. Santiago, República Dominicana. 

Dahiana María Collado-Rodríguez, Clínica Corominas

Doctora en medicina, residente de tercer año de Medicina Interna, Clínica Corominas. Santiago, República Dominicana.

Alina Fernández-Genao, Pontificia Universidad Católica Madre y Maestra

Doctora en medicina, asistente de la Unidad Técnico-Asesora de Investigación, Pontificia Universidad Católica Madre y Maestra. Santiago, República Dominicana.

Kaolix Massiel Benoit-Vargas, Pressal SRL

Doctora en medicina. Médico de campo. Santiago, República Dominicana

Carmen Evaneris González-Peralta, Clínica Corominas

Gastroenteróloga, internista. Santiago, República Dominicana.

References

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McMullan GS, Lewis JH. Tuberculosis of the Liver, Biliary Tract, and Pancreas. Microbiol Spectr. 2017;5(1). https://doi.org/10.1128/microbiolspec.TNMI7-0025-2016

Maguire C, Sivabalan P, Jhamb S, Palamuthusingam P. Hepatic tuberculosis masquerading as cholangiocarcinoma: an unusual differential for a liver mass. J Surg Case Rep. 2020;2020(8):rjaa247. https://doi.org/10.1093/jscr/rjaa247

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Suárez I, Fünger SM, Kröger S, Rademacher J, Fätkenheuer G, Rybniker J. The diagnosis and treatment of tuberculosis. Dtsch Arztebl Int. 2019;116(43):729-35. https://doi.org/10.3238/arztebl.2019.0729

Schininà V, Albarello F, Cristofaro M, Di Stefano F, Fusco N, Cuzzi G, et al. Diagnostic imaging of hepatic tuberculosis: case series. Int J Tuberc Lung Dis. 2018;22(7):779-787. https://doi.org/10.5588/ijtld.17.0710

Hickey A, Gounder L, Moosa M, Drain P. A systematic review of hepatic tuberculosis with considerations in human immunodeficiency virus co-infection. BMC Infectious Diseases. 2015;15:209. https://doi.org/10.1186/s12879-015-0944-6

Themes U. Mycobacterium tuberculosis ([Internet]. 2017 [consultado el 20 de septiembre de 2022]. Disponible en: https://basicmedicalkey.com/mycobacterium-tuberculosis-4/

Figure 2. Magnetic resonance cholangiography showing dilation of the intrahepatic bile duct and a cystic lesion with regular borders. Source: Patient’s medical record.

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Published

2023-06-22

How to Cite

Acevedo Rodríguez, N., Collado Rodríguez, D. M., Fernández Genao, A., Benoit Vargas, K. M., & González Peralta, C. E. (2023). A Case Report of Primary Hepatic Tuberculosis. Revista Colombiana De Gastroenterología, 38(2), 199–205. https://doi.org/10.22516/25007440.921

Issue

Vol. 38 No. 2 (2023): April - June

Section

Case report

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