Concomitant hepatic tuberculosis and hepatocellular carcinoma: a case report and review of the literature
| Autor: | Ali Hassan, Ibrahim Abobaker Alghnimi, Hind S. Alsaif, Mona H Ismail, Khaled Awary, Osamah J Refai, Haitham Kussaibi |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Abdominal pain Enlarged liver Carcinoma Hepatocellular Tuberculosis Fever Hepatocellular carcinoma lcsh:Surgery Case Report Malignancy Chronic liver disease Gastroenterology 030218 nuclear medicine & medical imaging Epatic tuberculosis 03 medical and health sciences 0302 clinical medicine Internal medicine Neoplasms Tuberculosis Hepatic medicine Humans Case reports business.industry Liver Neoplasms General Medicine lcsh:RD1-811 Middle Aged medicine.disease Abdominal Pain Surgery Liver 030220 oncology & carcinogenesis Abdominal examination Concomitant Female medicine.symptom Tomography X-Ray Computed business |
| Zdroj: | BMC Surgery, Vol 21, Iss 1, Pp 1-6 (2021) BMC Surgery |
| ISSN: | 1471-2482 |
| Popis: | Background Hepatocellular carcinoma (HCC) is the most common primary liver malignancy that is strongly associated with chronic liver disease. Isolated hepatic tuberculosis is an uncommon type of tuberculosis. Concomitant occurrence of both conditions is extremely rare. Case presentation We report the case of a 47-year-old man who presented with fever and abdominal pain for 3 months prior to presentation. He reported a history of anorexia and significant weight loss. Abdominal examination revealed a tender, enlarged liver. Abdominal computed tomography (CT) demonstrated a solid heterogeneous hepatic mass with peripheral arterial enhancement, but no venous washout, conferring a radiological impression of suspected cholangiocarcinoma. However, a CT-guided biopsy of the lesion resulted in the diagnosis of concomitant HCC and isolated hepatic tuberculosis. Conclusion A rapid increase in tumor size should draw attention to the possibility of a concomitant infectious process. Clinicians must have a high index of suspicion for tuberculosis, especially in patients from endemic areas, in order to initiate early and proper treatment. |
| Databáze: | OpenAIRE |
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