Abstract

ACEVEDO-RODRIGUEZ, Noemí et al. A Case Report of Primary Hepatic Tuberculosis. Rev. colomb. Gastroenterol. [online]. 2023, vol.38, n.2, pp.199-204.  Epub Sep 07, 2023. ISSN 0120-9957.  https://doi.org/10.22516/25007440.921.

This case report presents an incidental finding of primary tuberculosis in the liver of a 54-year-old female patient who had a history of multiple hospital admissions due to abdominal pain, jaundice, persistent fever, nausea with vomiting, weight loss, and asthenia. The evaluation involved considering differential diagnoses of cholangiocarcinoma, Caroli’s disease, hepatocellular carcinoma, and hepatic tuberculosis based on the patient’s history, imaging studies, and laboratory tests. The aim of this report is to provide healthcare professionals with a new diagnostic perspective when encountering patients with this ambiguous presentation, even in regions with low epidemiological incidence. Hepatic tuberculosis should be included in the differential diagnosis of patients with focal intrahepatic lesions or liver abscesses who have a history of recurrent hospitalizations and evidence on imaging studies.

Keywords : Hepatic tuberculosis; Mycobacterium tuberculosis; cholangiocarcinoma.

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