Hepatic Tuberculosis: A Diagnostic Challenge – Case Report and Literature Review: Case Report

FADOUA ZALARH; Majd Abdessamad; Benzidane Kamal; Ettaoussi Abdelhak; Kamal Khadija; Bouali Mounir; El Bakouri Abdelillah; Khaleq Khalid; El Hattabi Khalid

doi:10.58372/2835-6276.1346

Authors

FADOUA ZALARH Department of General Surgery, Ibn Rochd Hospital, Hassan II University, Faculty of Medicine and Pharmacy, Tarik Ibn Ziad Street, Morocco
Majd Abdessamad
Benzidane Kamal
Ettaoussi Abdelhak
Kamal Khadija
Bouali Mounir
El Bakouri Abdelillah
Khaleq Khalid
El Hattabi Khalid

DOI:

https://doi.org/10.58372/2835-6276.1346

Keywords:

Hepatic tuberculosis, Extrapulmonary tuberculosis, Mycobacterium tuberculosis, Antitubercular therapy, Liver biopsy

Abstract

Hepatic tuberculosis is a rare but clinically important form of extrapulmonary tuberculosis that can mimic hepatic neoplastic or inflammatory lesions. Diagnosis often relies on a combination of clinical, imaging, and, most importantly, histological and microbiological findings. Management is based on appropriate antitubercular therapy, with particular attention to the risk of hepatotoxicity and coinfections (HBV, HCV).

We report the case of a 51-year-old female patient, followed for renal failure and ampullary adenoma, admitted for acute pancreatitis with incidental discovery of multiple hepatic lesions on imaging. The initial workup suggested metastases, but liver biopsy confirmed hepatic tuberculosis. This case illustrates the diagnostic challenge of this rare condition.

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