Primary Hepatic Tuberculosis in an Immuno-Competent Lady Masquerading as Hepatic Neoplasm

Submitted by sysadmin1 on Tue, 05/10/2016 - 12:15
Oncology, Gastroenterology and Hepatology Reports,2013,2,2,47-49.
Published:July 2013
Type:Case Report

Primary Hepatic Tuberculosis in an Immuno-Competent Lady Masquerading as Hepatic Neoplasm

Bitoti Chattopadhyay,1 Atri Chatterjee,1 Nirod Baran Debnath,1 Anup Kumar Boler2

1Department of Medicine, Nilratan Sircar Medical College and Hospital, Kolkata, INDIA

2Department of Pathology, Nilratan Sircar Medical College and Hospital, Kolkata, INDIA

Abstract:

We report a 38 year old non-diabetic, immune-competent lady who presented with fever, anorexia, weight loss and right upper quadrant abdominal pain and was found to have multiple hepatic space-occupying lesions on Contrast enhanced Computed Tomography scan of abdomen in absence of any intra-abdominal lymphadenopathy or ascites. Demonstration of epithelioid cell granulomas and culture of the aspirate confirmed its tuberculous etiology thus ruling out any neoplastic pathology. There was no evidence of pulmonary tuberculosis. Patient responded excellently to antitubercular drugs with radiological resolution of the lesions. Despite the rarity of this condition, primary hepatic tuberculosis should be considered among the differential diagnoses of space-occupying lesions of the liver.