Korean J Med.
2007 Oct;73(4):423-427.
Primary hepatic tuberculoma misconceived as a cholangiocarcinoma
- Affiliations
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- 1Department of Internal Medicine, Wonkwang University School of Medicine, Iksan, Korea. kimpb@wonkwang.ac.kr
- 2Department of Internal Medicine, Gunsan National Medical Center, Gunsan, Korea.
Abstract
- Primary hepatic tuberculoma is a rare malady that is not accompanied by local symptoms, so the diagnosis can frequently be delayed or misconceived as other disease. We report here on an unusual case of primary hepatic tuberculoma that was misconceived as a cholangiocarcinoma on the imaging study. A 54-year-old man presented with dyspepsia and weight loss for 1 month. Abdominal computerized tomography demonstrated a solitary space-occupying lesion on the left lobe of the liver that suggested there was a cholangiocarcinoma accompanied with gastric outlet obstruction. The lesion was diagnosed by the ultrasonographic guided liver biopsy as a chronic granulomatous inflammation with necrosis, and the patient was treated via surgical resection with gastro-jejunostomy followed by antituberculosis chemotherapy. Twelve months later, no evidence of recurrence was noted when examining the patient's symptoms and the imaging studies.
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