2013
DOI: 10.1136/bcr-2013-008775
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Hepatic tuberculoma mimicking hepatocellular carcinoma in an immunocompetent host

Abstract: Hepatic tuberculosis as a part of disseminated tuberculosis is seen in 50-80% of cases. Isolated hepatic tuberculosis is very uncommon even in countries with high prevalence of tuberculosis. It can occur as a primary case or due to reactivation of an old tubercular focus. We report a case of a 59-year-old Caucasian woman who presented with persistent right upper quadrant pain and a hepatic lesion on an abdominal CT. She had a history of pulmonary tuberculosis 15 years ago with localised lung tuberculosis treat… Show more

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Cited by 12 publications
(7 citation statements)
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“…The disease may present at any age but is often seen in young adults [3] . As far as clinical findings are concerned, TB is most frequently associated with hepatomegaly (90%), fever (70%), weight loss (60%), abdominal pain (50%) night sweats, anorexia and rarely jaundice [4] . Our patient was admitted with all of the abovementioned signs.…”
Section: Discussionmentioning
confidence: 99%
“…The disease may present at any age but is often seen in young adults [3] . As far as clinical findings are concerned, TB is most frequently associated with hepatomegaly (90%), fever (70%), weight loss (60%), abdominal pain (50%) night sweats, anorexia and rarely jaundice [4] . Our patient was admitted with all of the abovementioned signs.…”
Section: Discussionmentioning
confidence: 99%
“…One patient with tuberculosis masqueraded as large HCC on imaging. It is worthwhile to perform biopsy if atypical features are present on imaging [17] . Large adenomas require resection as they have potential for rupture and malignancy [18] .…”
Section: Discussionmentioning
confidence: 99%
“…To our knowledge, similar cases have not been of such a small size. [ 4 – 6 ] Furthermore, this is the first report on contrast-enhanced US findings of hepatic isolated TB. We discuss the findings of noninvasive imaging modalities of hepatic TB.…”
Section: Introductionmentioning
confidence: 91%
“…However, due to non-specific imaging manifestation, hepatic TB may cause a diagnostic dilemma. [ 4 ] It may be misdiagnosed as a liver tumor, such as intrahepatic carcinoma or metastasis, or other lesions, such as liver abscess or hydatid cyst and so on. [ 5 9 ] Here, we report a case of isolated hepatic TB with primary misdiagnosis as small hepatocellular carcinoma (HCC) on contrast-enhanced ultrasonography (US) and magnetic resonance imaging (MRI).…”
Section: Introductionmentioning
confidence: 99%