Hepatic Tuberculosis Manifested as Hepatic Abscess: A Report of a Unique Case

Abstract

Millions of people around the world suffer from tuberculosis (TB), a long-term contagious illness. TB can invade almost all human body systems, with the respiratory system being the most impacted. Hepatic TB is a form of TB infection that affects the liver. It is considered an extrapulmonary manifestation of TB, which is a rare manifestation. Early identification of hepatic TB allows for prompt treatment, while leaving it untreated can result in fatality. Our patient is a 46-year-old female who presented with fever, weight loss, loss of appetite, and abdominal pain. An abdominal contrast-enhanced computed tomography (abdominal CECT) scan shows a well-defined, peripherally enhancing hypodense lesion in the liver, which helps with diagnosis. The biopsy demonstrates granulomatous inflammation accompanied by caseating necrosis. The objective of our study is to provide a detailed description of this unique condition through a case presentation.