The Unexpected Diagnosis of Hepatic Tuberculosis in an Immunocompetent Patient
Background/Aim. Tuberculosis (TB) is a chronic infectious disease which affects millions. The most affected system is the respiratory. Thus, hepatic TB (HTB) without involvement of other organs is not common. Its clinical manifestations are not specific, and both imaging and histopathological findin...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2020/7915084 |
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| author | Nikolaos Garmpis Christos Damaskos Anna Garmpi Aliki Liakea Dimitrios Mantas |
| author_facet | Nikolaos Garmpis Christos Damaskos Anna Garmpi Aliki Liakea Dimitrios Mantas |
| author_sort | Nikolaos Garmpis |
| collection | DOAJ |
| description | Background/Aim. Tuberculosis (TB) is a chronic infectious disease which affects millions. The most affected system is the respiratory. Thus, hepatic TB (HTB) without involvement of other organs is not common. Its clinical manifestations are not specific, and both imaging and histopathological findings are necessary for the diagnosis. The differential diagnosis includes primary and metastatic liver malignancies. Our aim is to describe the rare entity of HTB via a case presentation. Patient and Methods. We report a case of a 50-year-old female with abdominal pain, weight loss, fever, and anorexia. All imaging methods described a liver lesion. She underwent right lobe hepatectomy, and the histological evaluation demonstrated granuloma with central caseous necrosis. Results. Seven months postoperatively, the patient remains fit and healthy. Conclusion. HTB is a rare entity with no specific symptoms, signs, and no laboratory nor imaging findings. It can be managed effectively if diagnosed in time or lead to death if left untreated. |
| format | Article |
| id | doaj-art-8344380d310d4720a4d6556bee71cead |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-8344380d310d4720a4d6556bee71cead2025-02-03T06:05:40ZengWileyCase Reports in Surgery2090-69002090-69192020-01-01202010.1155/2020/79150847915084The Unexpected Diagnosis of Hepatic Tuberculosis in an Immunocompetent PatientNikolaos Garmpis0Christos Damaskos1Anna Garmpi2Aliki Liakea3Dimitrios Mantas4Second Department of Propedeutic Surgery, Laiko General Hospital, Medical School, National and Kapodistrian University of Athens, Athens, GreeceSecond Department of Propedeutic Surgery, Laiko General Hospital, Medical School, National and Kapodistrian University of Athens, Athens, GreeceFirst Propedeutic Internal Medicine Department, Laiko General Hospital, Medical School, National and Kapodistrian University of Athens, Athens, GreeceFirst Department of Pathology, Medical School, National and Kapodistrian University of Athens, Athens, GreeceSecond Department of Propedeutic Surgery, Laiko General Hospital, Medical School, National and Kapodistrian University of Athens, Athens, GreeceBackground/Aim. Tuberculosis (TB) is a chronic infectious disease which affects millions. The most affected system is the respiratory. Thus, hepatic TB (HTB) without involvement of other organs is not common. Its clinical manifestations are not specific, and both imaging and histopathological findings are necessary for the diagnosis. The differential diagnosis includes primary and metastatic liver malignancies. Our aim is to describe the rare entity of HTB via a case presentation. Patient and Methods. We report a case of a 50-year-old female with abdominal pain, weight loss, fever, and anorexia. All imaging methods described a liver lesion. She underwent right lobe hepatectomy, and the histological evaluation demonstrated granuloma with central caseous necrosis. Results. Seven months postoperatively, the patient remains fit and healthy. Conclusion. HTB is a rare entity with no specific symptoms, signs, and no laboratory nor imaging findings. It can be managed effectively if diagnosed in time or lead to death if left untreated.http://dx.doi.org/10.1155/2020/7915084 |
| spellingShingle | Nikolaos Garmpis Christos Damaskos Anna Garmpi Aliki Liakea Dimitrios Mantas The Unexpected Diagnosis of Hepatic Tuberculosis in an Immunocompetent Patient Case Reports in Surgery |
| title | The Unexpected Diagnosis of Hepatic Tuberculosis in an Immunocompetent Patient |
| title_full | The Unexpected Diagnosis of Hepatic Tuberculosis in an Immunocompetent Patient |
| title_fullStr | The Unexpected Diagnosis of Hepatic Tuberculosis in an Immunocompetent Patient |
| title_full_unstemmed | The Unexpected Diagnosis of Hepatic Tuberculosis in an Immunocompetent Patient |
| title_short | The Unexpected Diagnosis of Hepatic Tuberculosis in an Immunocompetent Patient |
| title_sort | unexpected diagnosis of hepatic tuberculosis in an immunocompetent patient |
| url | http://dx.doi.org/10.1155/2020/7915084 |
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