%0 Journal Article
%T Pseudotumor Tuberculosis of Liver: A Rare Entity - Pseudotumor Tuberculosis of Liver: A Rare Entity - Open Access Pub
%A Ghizlane Kharrasse
%A Khanoussi wafae
%A Mehdi Soufi
%A Mohammed Bouziane
%A Tijani El haroudi
%A Zahi Ismaili
%J OAP | Home | Journal of Spleen And Liver Research | Open Access Pub
%D 2018
%X We present a rare case of a 46-year-old man who presented with recurrent fever and abdominal pain without other symptoms. Laboratory data were no specific for diagnosis. Abdominal imaging revealed a pseudotumor liver. A diagnosis of isolated liver tuberculosis with abscess component was confirmed with US-guided liver biopsy and histopathological examination. The patient received antibacillous drugs with success. DOI 10.14302/issn.2578-2371.jslr-14-539 Tuberculosis is one of the most common diseases in Morocco 1. Although the prevalence of tuberculosis decreased quickly worldwide after the widespread use of antibacillous drugs, the prevalence has increased in recent years in immunocompromised and immunocompetent patients 1. Hepatic tuberculosis is an uncommon form of extrapulmonary tuberculosis. It is usually a disseminated disease associated with military tuberculosis, which is one of the most characteristic manifestations of tuberculosis. Localized tuberculosis of the liver in the pseudotumor form is rare 2. We report a rare case of isolated liver tuberculosis in young patient without any immunodeficiency treated successfully with antibacillous drugs. A 46 year old man was admitted with 5 months history of remittent fever ranging between 37.6¡ãC and 38.2¡ãC. The fever was associated with chills and epigastric pain, as well as night sweats. The patient has also a history of 10 Kg weight loss along with loss of appetite. On clinical examination, the patient was, oriented in time and space, cooperative, febrile 37,9, anicteric and normopneic, without peripheral lymphadenopathy. He had abdominal tenderness in the epigastric region, without hepatosplenomegaly. Laboratory analysis showed hemoglobin, 10.9 g/dL; white blood cell count, 9,800 cells/mm3, serum albumin, serum total bilirubin, alanine aminotransferase, aspartate aminotransferase, prothrombin time, hepatitis B surface antigen, and antibodies to hepatitis C, serum alpha-fetoprotein (AFP), carcinoembryonic antigen and carbohydrate antigen 19-9 (CA 19-9) were within normal range. Blood cultures were negative. Chest x-ray was normal. Ultrasound of abdomen showed a 10 cm hypoechogenic lesion in left liver (Figure 1). An abdominal CT showed a well-defined heterogeneous mass situated in his left hepatic lobe measuring 10 cm ¡Á 7 cm (Figure 2, Figure 3). The lesion featured central necrosis, a hyper-dense rim and a mild enrichment from the arterial phase in the CT, The diagnosis of primary hepatic tumor was suspected. An ultrasonography-guided needle biopsy of the liver was scheduled in order to rule out
%U https://www.openaccesspub.org/jslr/article/134