PMID: 18723964Aug 30, 2008Paper

Hepatic tuberculosis mimicking Klatskin tumor: a diagnostic dilemma

Indian Journal of Pathology & Microbiology
Raman AroraAmit Kumar Dinda

Abstract

Tubercular involvement of liver is rare and usually occurs in association with pulmonary or miliary tuberculosis, as diffuse involvement without recognizable pulmonary tuberculosis or rarely in a localized form, which presents as a tuberculoma or tubercular abscess. We report the case of a 22-year-old boy presenting with features of obstructive jaundice and a clinico-radiological picture highly suggestive of a perihilar cholangiocarcinoma (Klatskin tumor), but found to have tubercular involvement of porta hepatis. We review the literature on this unusual presentation, highlight the considerable diagnostic challenge such cases can pose, and also emphasize the need to consider tuberculosis in differential diagnosis of lesions involving the porta hepatis, particularly in areas endemic for the disease.

Citations

Nov 28, 2013·Journal of the Formosan Medical Association = Taiwan Yi Zhi·Ashok MohitePravin Rathi
Oct 28, 2015·Case Reports in Surgery·Rajaram SharmaPriya Hira
Aug 16, 2011·British Journal of Hospital Medicine·Rajaraman Durai, Philip C H Ng
May 26, 2010·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Bing-Sheng CaoZhong-Yuan Wang
Feb 25, 2017·Microbiology Spectrum·G Shelton McMullan, James H Lewis

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