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 SS  Vol.12 No.3 , March 2021
A Rare Localization of Tuberculosis: A Case Report and a Review of the Literature
Abstract: The hepatic tuberculosis is rare. The interest of this Knowledge consists in the diagnostic problems particularly in its primitive and macronodular forms. It touches all ages with a peak of frequency during 17 - 50 years old, and a female prevalence. The clinical picture is polymorphous but it is still dominated by the prolonged fever and the alteration of the general state. Case report: 30-year-old female was admitted to our hospital with painless swelling on the right side of chest and feeling of pressure in the right upper quadrant of abdomen. She has no history of fever, weight loss, and night sweating or poor appetite. On clinical examination, the patient was in good general condition. The inflammatory tumefaction of the right chest wall was marked. The palpation of the abdomen revealed a sensitive hepatomegaly. A CT scan revealed a large cystic liver. The laboratory investigations were normal. This appearance was suggestive of a hydatid cyst of the right liver and a surgical management was decided. But the histological study revealed granulomatous inflammation consisting of tuberculoid type granuloma with caseous necrosis. However, abscess of the liver due to MT was highly suspected and anti-tuberculosis therapy was started, the patient responded well. Conclusion: The analysis of this observation and the data of the literature make it possible to retain the rarity; the polymorph expression and not very suggestive of this location.
Cite this paper: El Mouhafid, F. , Elhjouji, A. , Fahssi, M. , Yaka, M. , Njoumi, N. , Tarchouli, M. , Iraki, H. , Moujahid, M. , Aitali, A. and Zentar, A. (2021) A Rare Localization of Tuberculosis: A Case Report and a Review of the Literature. Surgical Science, 12, 95-101. doi: 10.4236/ss.2021.123011.
References

[1]   Tostmann, A., Boeree, M.J., Aarnoutse, R.E., de Lange, W.C., van der Ven, A.J. and Dekhuijzen, R. (2008) Antituberculosis Drug-Induced Hepatotoxicity: Concise Up-to-Date Review. Journal of Gastroenterology and Hepatology, 23, 192-202.
https://doi.org/10.1111/j.1440-1746.2007.05207.x

[2]   Nassar, I., Errabih, I., Krami, I., Hammani, L., Ouazzani, H. and Imani, F. (2008) DIG-WS-36 Tuberculose hépatique priitive: à propos de 10 cas. Journal de Radiologie, 88, 1538.
https://doi.org/10.1016/S0221-0363(07)81728-8

[3]   Bernard, E., et al. (1985) Tuberculose hépatique à forme pseudo-tumorale. A propos d’une observation. Ann Med Interne (Paris), 21, 135-136. PMID: 4096565.

[4]   Hickey, N., McNulty, J.G., Osborne, H. and Finucane, J. (1999) Acute Hepatobiliary Tuberculosis: A Report of Two Cases and a Review of the Literature. European Radiology, 9, 886-889.
https://doi.org/10.1007/s003300050761

[5]   Rogé, F., Berthet, B., Nikolajevic, Z. and Assadourian, R. (2000) Vomumineuse adénopathie tuberculeuse du pédicule hépatique. Annales de Chirurgie, 125, 292- 295.
https://doi.org/10.1016/S0001-4001(00)00138-0

[6]   AITKHOUYA.S. (2002) LA T.H (à propos de 14 cas) Thesis Medicine No. 29. Casablanca.

[7]   Aubry, P. (1994) Apport de l’échographie des organes pleins de l’abdomen au stade 4, de l’infection par le virus de l’immuno déficience humaine. 43-52.

[8]   Muinelo, F.M. (1999) Absceso hepatico tuberculoso en VIH.

[9]   Kennethy, Y. (1999) Isolated Hepatic Tuberculosis: Report of Five Cases and Review of the Literature.

[10]   AkÇay, M.N., Polat, K.Y., Ören, D. and Öztürk, G. (2004) Primary Tuberculous Liver Abscess. A Case Report and Review of Literature. International Journal of Clinical Practice, 58, 625-627.
https://doi.org/10.1111/j.1368-5031.2004.00105.x

[11]   Mert, A., Ozarzs, R., Tabak, F., Ozturk, R. and Bilir, M. (2003) Localized Hepatic Tuberculosis. European Journal of Internal Medicine, 14, 511-512.
https://doi.org/10.1016/j.ejim.2003.09.007

[12]   Hassani, K.I., Ousadden, A., Ankouz, A., Mazaz, K. and Taleb, K.A. (2010) Isolated Liver Tuberculosis Abscess in a Patient without Immunodeficiency: A Case Report. World Journal of Hepatology, 2, 354-357.
https://doi.org/10.4254/wjh.v2.i9.354

[13]   Johansen, I.S., Thomen, V.O., Johansen, A., Andersen, P. and Lundgren, B. (2002) Evaluation of a New Commercial Assay for Diagnosis of Pulmonary and Nonpulmonary Tuberculosis. European Journal of Clinical Microbiology and Infectious Diseases, 21, 455-460.
https://doi.org/10.1007/s10096-002-0737-x

[14]   Diallo, I., Mbengue, A., Gning, S.B., Amar, M.A., Ndiaye, B., Diop, Y., Fall, F. and Baye, P.S. (2016) Hepatosplenic Tuberculosis Simulating Secondary Malignant Lesions with Cholangitis. BMC Research Notes, 9, Article No. 316.
https://doi.org/10.1186/s13104-016-2091-6

[15]   Ch’ng, L.S., Amzar, H., Ghazali, K.C., et al. (2018) Imaging Appearances of Hepatic Tuberculosis: Experience with 12 Patients. Clinical Radiology, 73, 321.E11-321.E16.
https://doi.org/10.1016/j.crad.2017.10.016

[16]   Bensabbahia, D., Jouhadi, Z., Labied, S., Najib, J. and Chbani, K. (2015) P-101—Tuberculose hépatique à propos de 3 cas. Archives de Pédiatrie, 22, 258.
https://doi.org/10.1016/S0929-693X(15)30285-2

[17]   Diallo, I., Mbengue, A., Gning, S.B., et al. (2016) Hepatosplenic Tuberculosis Simulating Secondary Malignant Lesions with Cholangitis. BMC Research Notes, 9, Article No. 316.
https://doi.org/10.1186/s13104-016-2091-6

[18]   Ai, J.-W., Li, Y., Cheng, Q., et al. (2018) Diagnostic of Local Hepatic Tuberculosis through Next-Generation Sequencing: Smarter, Faster and Better. Clinics and Research in Hepatology and Gastroenterology, 42, 178-181.
https://doi.org/10.1016/j.clinre.2018.04.007

[19]   Wong, S.S.M. (2014) Hepatic Tuberculosis: A Rare Cause of Fluorodeoxyglucose Hepatic Superscan with Background Suppression on Positron Emission Tomoqraophy. Singapore Medical Journal, 55, e101-e103.
https://doi.org/10.11622/smedj.2013237

[20]   Jain, R., Sawhney, S., Gupta, R.G. and Acharya, S.K. (1999) Sonographic Appearances and Percutaneous Management of Primary Tuberculous Liver Abscess. Journal of Clinical Ultrasound, 27, 159-163.
https://doi.org/10.1002/(SICI)1097-0096(199903/04)27:3<159::AID-JCU11>3.0.CO;2-K

[21]   Chen, H.-C., Chao, Y.-C., Shyu, R.-Y. and Hsieh, T.-Y. (2003) Isolated Tuberculous Liver Abscesses with Multiple Hyperechoic Masses on Ultrasound: A Case Report and Review of the Literature. Liver International, 23, 346-350.
https://doi.org/10.1034/j.1478-3231.2003.00861.x

[22]   Yu, R.S., Zhang, S.Z., Wu, J.J., et al. (2004) Imaging Diagnosis of 12 Patients with Hepatic Tuberculosis. World Journal of Gastroenterology, 10, 1639-1642.
https://doi.org/10.3748/wjg.v10.i11.1639

[23]   Kanagaraj, A., Marthandam, L.R., Sriramakrishnan, V., et al. (2008) Tuberculous Liver Abscess. J Assoc Physicians India, 56, 647-648.

[24]   Alcantara-Payawal, D.E., Matsumura, M., Shiratori, Y., et al. (1997) Direct Ditection of Mycobacterium tuberculosis Using Polymerase Chain Reaction Assay among Patient with Hepatic Granuloma. Journal of Hepatology, 27, 620-627.
https://doi.org/10.1016/S0168-8278(97)80078-5

[25]   Amaris, J. (1997) Aspects radiologiques du tuberculome hépatique. Gastroentérologie Clinique et Biologique, 21, 888-892.

[26]   Seve, P. (1998) Tuberculose hépatique: Un cas à forme pseudo-tumorale. Ann Med Interne (Paris), 149, 386-388.

[27]   Alvarez, S.Z. (1998) Hepatobiliary Tuberculosis. Journal of Gastroenterology and Hepatology, 13, 833-839.
https://doi.org/10.1111/j.1440-1746.1998.tb00743.x

[28]   Lee, S.-W., Lien, H.-C. and Chang, C.-S. (2010) Tuberculous Liver Abscess in a Case without Lung Involvement. The Kaohsiung Journal of Medical Sciences, 26, 99-104.
https://doi.org/10.1016/S1607-551X(10)70015-2

[29]   Bangaroo, A.K. and Malhotra, A.S. (2005) Isolated Hepatic Tuberculosis. Journal of Indian Association of Pediatric Surgeons, 10, 105-107.
https://doi.org/10.4103/0971-9261.16474

[30]   Kumar, P., Kakar, A. and Gogia, A. (2015) Tubercular Liver Abscess: A Rare Presentation of a Common Disease. Current Medicine Research and Practice, 5, 232-234.
https://doi.org/10.1016/j.cmrp.2015.06.005

 
 
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