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Probable hepatic tuberculosis masquerading as Klatskin tumour in an immunocompetent patient
  1. Mohammad Hanafiah1,
  2. Sharifah Majedah Idrus Alhabshi2,
  3. Tribeni Bag2,
  4. Soo Fin Low2
  1. 1Department of Radiology, MARA University of Technology, Sungai Buloh, Selangor, Malaysia
  2. 2Department of Radiology, Universiti Kebangsaan Malaysia Medical Centre, Cheras, Kuala Lumpur, Malaysia
  1. Correspondence to Dr Mohammad Hanafiah, mhanafiah8804{at}


A 55-year-old immunocompetent woman was presented with features of obstructive jaundice and a clinicoradiological picture suggestive of a hilar cholangiocarcinoma (Klatskin tumour). However, caseating granulomatous lesion associated with miliary nodules were revealed intraoperatively. The lesion responded to standard antituberculous therapy. This unusual presentation highlights the considerable diagnostic challenge in such case.

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