Primary hepaticobiliary tuberculosis mimicking gall bladder carcinoma with liver metastasis: a case report

  • Muhammad Manzoor Ul Haque Department of Hepatogastroentrology, Sindh Institute of Urology and Transplantation (SIUT), Karachi, Pakistan
  • Rajesh Kumar Whadva Department of Hepatogastroentrology, Sindh Institute of Urology and Transplantation (SIUT), Karachi, Pakistan
  • Nasir Hassan Luck Department of Hepatogastroentrology, Sindh Institute of Urology and Transplantation (SIUT), Karachi, Pakistan
  • Muhammed Mubarak Department of Histopathology, Sindh Institute of Urology and Transplantation (SIUT), Karachi, Pakistan
Keywords: Carcinoma; frozen section; gall bladder; liver biopsy; tuberculosis

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.

Published
2019-02-07
Section
Articles

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eISSN: 1937-8688