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J Korean Surg Soc. 2005 Jun;68(6):518-521. Korean. Case Report.
Baek NW , Kim IH , Kang SW , Lee DS , Park WK , Yun SS , Kim HJ .
Department of Surgery, Yeungnam University College of Medicine, Daegu, Korea.
Department of Diagnostic Radiology, Yeungnam University College of Medicine, Daegu, Korea.

Isolated tuberculous hepatic abscess is rare and surgical treatment is often needed when the size of abscess is large or increasing, when abscess is resistant to antituberculous medication or undergoing secondary change. We report an unusual case of recurrent tuberculous hepatic abscess following surgical resection and antituberculous medication. A 67-year-old woman was admitted due to right upper abdominal pain. She had operation history of segmental resection of the liver due to tuberculous hepatic abscess refractory to antituberculous medication. Preoperative abdominal CT scan demonstrated a enlarging multifocal cystic lesion at segment 8 of the liver in spite of antituberculous medication. Right lobectomy was done and the biopsy revealed caseous necrosis and acid-fast bacilli on microscopic finding. Second- line antituberculous medication was started and no evidence of recurrence was noted.

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