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Concomitant hepatic tuberculosis and hepatocellular carcinoma: a case report and review of the literature.

Authors :
Alsaif, Hind S.
Hassan, Ali
Refai, Osamah
Awary, Khaled
Kussaibi, Haitham
Ismail, Mona H.
Alghnimi, Ibrahim
Source :
BMC Surgery; 1/2/2021, Vol. 21 Issue 1, p1-6, 6p
Publication Year :
2021

Abstract

<bold>Background: </bold>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.<bold>Case Presentation: </bold>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.<bold>Conclusion: </bold>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. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
14712482
Volume :
21
Issue :
1
Database :
Complementary Index
Journal :
BMC Surgery
Publication Type :
Academic Journal
Accession number :
147888780
Full Text :
https://doi.org/10.1186/s12893-020-01021-1