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CASE REPORT
Hepatic tuberculoma mimicking hepatocellular carcinoma in an immunocompetent host
  1. K Zorbas1,
  2. V Koutoulidis2,
  3. P Foukas1,
  4. N Arkadopoulos1
  1. 14th Department of Surgery, Attikon Hospital, Athens, Greece
  2. 2Department of Radiology, Areteion Hospital, Athens, Greece
  1. Correspondence to Dr Konstantinos Zorbas, zorbasko{at}gmail.com

Summary

Hepatic tuberculosis as a part of disseminated tuberculosis is seen in 50–80% of cases. Isolated hepatic tuberculosis is very uncommon even in countries with high prevalence of tuberculosis. It can occur as a primary case or due to reactivation of an old tubercular focus. We report a case of a 59-year-old Caucasian woman who presented with persistent right upper quadrant pain and a hepatic lesion on an abdominal CT. She had a history of pulmonary tuberculosis 15 years ago with localised lung tuberculosis treated with lobectomy and antituberculous drugs.

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