Mistaking primary hepatic tuberculosis for malignancy: Could surgery have been avoided?

Iman Ghoneim, Zamri Zuhdi, Affirul Chairil Arrifin, Hairol Azrin Othman, Razman Jarmin, Azlanudin Azman

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

A 56-year-old woman presented with epigastric pain and loss of appetite and weight for the preceding 3 weeks. Clinically, she was jaundiced with upper quadrant abdominal tenderness. Initial blood tests and imaging scans suggested cholangiocarcinoma. Intraoperatively, no malignancy was observed. A frozen section biopsy suggested tuberculosis (TB). However, subsequent serological examination showed that the patient was nonreactive for human immunodeficiency virus, hepatitis B, hepatitis C, and acid-fast bacilli. A chest radiograph also showed no evidence of pulmonary TB. The patient was then placed on antitubercular therapy and her condition improved. Primary hepatic TB was not initially considered during diagnosis because of its low prevalence, but this led to performing an unnecessary surgery on this patient. We review the literature on this rare condition and discuss potential strategies for diagnosing and managing patients with primary hepatic TB.

Original languageEnglish
Pages (from-to)94-97
Number of pages4
JournalFormosan Journal of Surgery
Volume48
Issue number3
DOIs
Publication statusPublished - 1 Jun 2015

Fingerprint

Hepatic Tuberculosis
Neoplasms
Unnecessary Procedures
Cholangiocarcinoma
Frozen Sections
Hematologic Tests
Appetite
Hepatitis C
Jaundice
Hepatitis B
Pulmonary Tuberculosis
Bacillus
Weight Loss
Tuberculosis
Thorax
HIV
Biopsy
Pain
Acids

Keywords

  • Cholangiocarcinoma
  • Hepatectomy
  • Primary hepatic tuberculosis

ASJC Scopus subject areas

  • Surgery

Cite this

Mistaking primary hepatic tuberculosis for malignancy : Could surgery have been avoided? / Ghoneim, Iman; Zuhdi, Zamri; Arrifin, Affirul Chairil; Othman, Hairol Azrin; Jarmin, Razman; Azman, Azlanudin.

In: Formosan Journal of Surgery, Vol. 48, No. 3, 01.06.2015, p. 94-97.

Research output: Contribution to journalArticle

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