Primary tubercular liver abscess rupture leading to parietal wall abscess

Gupta, Gaurav; Nijhawan, Sandeep; Katiyar, Prashant; Mathur, Archana

doi:10.4103/0022-3859.90095

Cited by 5 publications

(2 citation statements)

References 3 publications

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“…13 ) such as perihepatic abscess, infective peritonitis, etc. [ 26 ]. Vascular complications like portal vein thrombosis and subsequent portal hypertension have also been reported (Fig.…”

Section: Macronodular Tuberculosismentioning

confidence: 99%

Hepatic tuberculosis: a multimodality imaging review

et al. 2015

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ObjectivesWe aim to illustrate the multimodal imaging spectrum of hepatic involvement in tuberculosis (TB). Whilst disseminated tuberculosis on imaging typically manifests as multiple small nodular lesions scattered in the liver parenchyma, isolated hepatic tuberculosis remains a rare and intriguing entity.MethodsIndubitably, imaging is the mainstay for detection of tubercular hepatic lesions which display a broad spectrum of imaging manifestations on different modalities. While sonography and computed tomography (CT) findings have been described in some detail, there is a paucity of literature on magnetic resonance imaging (MRI) features. Due to a significant overlap with other commoner and similar appearing hepatic lesions, hepatic tuberculosis is often either misdiagnosed or labelled as indeterminate lesions. This article is a compendium of cases highlighting the spectrum of imaging patterns that can be encountered in patients with isolated primary hepatic tuberculosis as well as disseminated (secondary) disease. Rare patterns of primary disease such as tubercular cholangitis, hypervascular liver masses, and those with vascular complications are also illustrated and discussed.ConclusionsImaging plays a valuable role in the detection of tubercular hepatic lesions. Also, imaging can be helpful in their characterisation and for assessing associated complications.Teaching points• Hepatic TB has myriad imaging manifestations and is often confounded with neoplastic lesions.• Imaging patterns include miliary TB, macronodular TB, serohepatic TB and tubercular cholangitis.• Concurrent splenic, nodal or pulmonary involvements are helpful pointers towards the diagnosis.• Miliary calcifications along the bile ducts are characteristic of tubercular cholangitis.• Histological/microbiological confirmation is often necessary to confirm the diagnosis.

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“…13 ) such as perihepatic abscess, infective peritonitis, etc. [ 26 ]. Vascular complications like portal vein thrombosis and subsequent portal hypertension have also been reported (Fig.…”

Section: Macronodular Tuberculosismentioning

confidence: 99%

Hepatic tuberculosis: a multimodality imaging review

et al. 2015

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show abstract

“…Primary tubercular liver abscess (TLA) is an extremely rare condition, even in countries such as India, where TB is highly prevalent 2,3. Liver abscesses in portal cavernoma cholangiopathy (PCC) are predominantly pyogenic due to associated cholangitis.…”

Section: Introductionmentioning

confidence: 99%

Primary Tubercular Liver Abscess Complicated by Tubercular Meningitis in Portal Cavernoma Cholangiopathy

Patel

Choksi

Poddar

et al. 2016

ACG Case Reports Journal

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While hepatic tuberculosis is rare, primary tubercular liver abscess (TLA) is a rarer condition even in endemic countries such as India. Liver abscess in portal cavernoma cholangiopathy (PCC) is predominantly pyogenic. A 14-year-old girl was found to have PCC with multiple liver abscesses. Persistent fever and development of neurological symptoms prompted further evaluation, and she was found to have primary TLA complicated by tubercular meningitis. We report a rare case of primary TLA complicated by tubercular meningitis in asymptomatic PCC.

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CT characterization of hepatic tuberculosis

Sah

Zeng

et al. 2017

Radiology of Infectious Diseases

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Primary tubercular liver abscess rupture leading to parietal wall abscess

Cited by 5 publications

References 3 publications

Hepatic tuberculosis: a multimodality imaging review

Hepatic tuberculosis: a multimodality imaging review

Primary Tubercular Liver Abscess Complicated by Tubercular Meningitis in Portal Cavernoma Cholangiopathy

CT characterization of hepatic tuberculosis

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