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KMID : 0882420070730040423
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Korean Journal of Medicine
2007 Volume.73 No. 4 p.423 ~ p.427
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Primary hepatic tuberculoma misconceived as a cholangiocarcinoma
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Yeom Dong-Han
Lim Pyoung-Suk
Cho Eun-Young
Choi Chang-Soo
Kim Tae-Hyeon
Seo Geom-Seog
Kim Haak-Cheoul
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Abstract
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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
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KEYWORD
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Liver, Tuberculoma
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