Primary hepatic tuberculoma misconceived as a cholangiocarcinoma

Dong Han Yeom,; Peong Suk Im,; Eun Young Cho,; Chang Soo Choi,; Tae Hyeon Kim,; Geom Seok Seo,; Haak Cheoul Kim,

Korean J Med > Volume 73(4); 2007 > Article

Original Article

The Korean Journal of Medicine 2007;73(4):423-427.

Primary hepatic tuberculoma misconceived as a cholangiocarcinoma

Dong Han Yeom, Peong Suk Im, Eun Young Cho, Chang Soo Choi, Tae Hyeon Kim, Geom Seok Seo, Haak Cheoul Kim

경희대학교 의과대학 순환기내과학교실

증례 : 담관암으로 오인된 일차성 간결핵

염동한.임평숙.조은영.최창수.김태현.서검석.김학철, Peong Suk Im, Eun Young Cho, Chang Soo Choi, Tae Hyeon Kim, Geom Seok Seo, Haak Cheoul Kim

Abstract

Primary hepatic tuberculoma is a rare malady that is not accompanied by local symptoms, so the diagnosis can frequently be delayed or misconceived as other disease. We report here on an unusual case of primary hepatic tuberculoma that was misconceived as a cholangiocarcinoma on the imaging study. A 54-year-old man presented with dyspepsia and weight loss for 1 month. Abdominal computerized tomography demonstrated a solitary space-occupying lesion on the left lobe of the liver that suggested there was a cholangiocarcinoma accompanied with gastric outlet obstruction. The lesion was diagnosed by the ultrasonographic guided liver biopsy as a chronic granulomatous inflammation with necrosis, and the patient was treated via surgical resection with gastro-jejunostomy followed by antituberculosis chemotherapy. Twelve months later, no evidence of recurrence was noted when examining the patient's symptoms and the imaging studies.(Korean J Med 73:423-427, 2007)

Key Words: Liver, Tuberculoma