Porta Hepatis Mass

Niemiec, Steve M.; Vinetz, Joseph M.; Sicklick, Jason K.

doi:10.1001/jamasurg.2015.2425

Cited by 4 publications

(2 citation statements)

References 5 publications

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“…The optimal duration of time to treat hepatic TB is controversial, but 6–12 mo seems to be effective for most patients[ 5 ]. Patients generally do not require any further surgical intervention after the completion of anti-TB therapy, but surgical treatment of hepatic TB is usually required in cases of TB-related biliary compression leading to jaundice, portal hypertension, or biliary bleeding, or when the diagnosis is uncertain[ 28 ]. In conclusion, there are insufficient controlled data to recommend the use of corticosteroids in all cases of hepatic TB, either in isolated hepatic TB or in complications of cornified/spread TB.…”

Section: Discussionmentioning

confidence: 99%

Misidentification of hepatic tuberculosis as cholangiocarcinoma: A case report

Li¹,

Tang²,

Huang³

2021

WJCC

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BACKGROUND Hepatic tuberculosis (TB) is uncommon clinically. Because of a lack of specific signs, characteristic symptoms and clinical manifestations and because pathological samples are difficult to obtain, hepatic TB is easily missed or misdiagnosed. CASE SUMMARY A 62-year-old Chinese man presented with jaundice for 1 wk and no abnormal laboratory tests other than elevated bilirubin, aminotransferases and C-reactive protein. Computed tomography (CT) of the abdomen showed a mass in the left lobe of the liver and hepatic hilum with striped calcified foci. Mild enhancement was visible at the edges, along with extensive intrahepatic biliary ductal dilatation in the right lobe of the liver. In the arterial phase of both CT and magnetic resonance imaging, the main trunk and right branch of the portal artery were partially visualized. Magnetic resonance cholangiopancreatography (MRCP) indicated that the left lobe of the liver and most of the bile ducts in the hilum were not visible. Pathological examination revealed coagulative necrosis, and granulomatous nodules were seen around areas of necrosis; therefore, TB was considered. CONCLUSION Hepatic tuberculosis is easily misdiagnosed or missed on imaging. Percutaneous puncture biopsy is the most useful tool for definitive diagnosis.

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Section: Discussionmentioning

confidence: 99%

Misidentification of hepatic tuberculosis as cholangiocarcinoma: A case report

Li¹,

Tang²,

Huang³

2021

WJCC

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“…In some cases, the differential diagnosis of inflammation and malignant tumor is difficult even under intraoperative biopsy. For example, tuberculosis of portal masses (6) had been reported to compress the common bile duct, performing like the malignance. The accurate diagnosis relies on the postoperative histopathological examination of whole-mount serial sections.…”

Section: Discussionmentioning

confidence: 99%

Obstructive jaundice secondary to fungal infection: a rare case report

et al. 2020

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Obstructive jaundice is characterized by an obstruction of the intrahepatic or extrahepatic biliary system, and the most common causes include pancreatic and duodenal periampullary cancer. There have been some cases reporting obstructive jaundice caused by infection. Deep tissue infection usually develops in the individuals who are immunologically compromised or chronically ill, while a few cases reported in the immunocompetent patients. Those cases were diagnosed by fungal culture or percutaneous biopsy. Here, we presented an interesting case of obstructive jaundice secondary to fungal infection confirmed by postoperative pathological examination. A 79 years old man complaint about upper abdominal discomfort, darkened urine, and skin itch, with a history of esophageal cancer operation 5 years ago. The serology for hepatitis virus and human immunodeficiency virus (HIV) was negative. Imaging examinations showed a nodular located at distal common bile duct. As evidenced by increased level of cancer antigen 19-9 (CA19-9), the patient was highly suspected to be malignant obstructive jaundice. Thus, pylorus preserving pancreaticoduodenectomy (PPPD) was conducted. To our surprise, the ultimate diagnosis was fungal infection at the site of duodenum ampulla by the postoperative pathological examination, with no evidence of malignance. Anti-infective therapy was conducted subsequently, combined by fluconazole, sulperazone and tinidazole. Three weeks later, the patient was generally in good condition and discharged from hospital. During the 2-year follow-up, no fungal infection or tumor recurrence was observed. This case reminded us that fungal infection could be the cause of obstructive jaundice in an elderly person.

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Klebsiella pneumoniae liver abscess mimicking cholangiocarcinoma: A case report

Wang

et al. 2022

Asian Journal of Surgery

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Porta Hepatis Mass

Cited by 4 publications

References 5 publications

Misidentification of hepatic tuberculosis as cholangiocarcinoma: A case report

Misidentification of hepatic tuberculosis as cholangiocarcinoma: A case report

Obstructive jaundice secondary to fungal infection: a rare case report

Klebsiella pneumoniae liver abscess mimicking cholangiocarcinoma: A case report

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