Hepatic Tuberculosis: A Rare Case Report and Literature Review
S. EL HASSOUNI *
Department of Visceral Surgery, Mohammed V Military Instruction Hospital, Rabat, Morocco.
Z KOULIBALY
Department of Visceral Surgery, Mohammed V Military Instruction Hospital, Rabat, Morocco.
A BOUJDAINE TSOULI
Department of Visceral Surgery, Mohammed V Military Instruction Hospital, Rabat, Morocco.
Z BELLAMLIK
Department of Visceral Surgery, Mohammed V Military Instruction Hospital, Rabat, Morocco.
I ELAZZAOUI
Department of Visceral Surgery, Mohammed V Military Instruction Hospital, Rabat, Morocco.
I EL MESSAOUDI
Department of Visceral Surgery, Mohammed V Military Instruction Hospital, Rabat, Morocco.
M BOUZROUD
Department of Visceral Surgery, Mohammed V Military Instruction Hospital, Rabat, Morocco.
M NAJIH
Department of Visceral Surgery, Mohammed V Military Instruction Hospital, Rabat, Morocco.
H EL KAOUI
Department of Visceral Surgery, Mohammed V Military Instruction Hospital, Rabat, Morocco.
SM BOUCHENTOUF
Department of Visceral Surgery, Mohammed V Military Instruction Hospital, Rabat, Morocco.
M MOUJAHID
Department of Visceral Surgery, Mohammed V Military Instruction Hospital, Rabat, Morocco.
*Author to whom correspondence should be addressed.
Abstract
We report a case of primary abscessed hepatic tuberculosis in the visceral surgery department of Mohamed V Military Hospital of Rabat, a 32-year-old female patient with no medical history. Admitted with right hypochondrium pain, associated with swelling of the right lateral chest wall. Clinical examination revealed tender hepatomegaly on palpation. Abdominal CT revealed a cystic lesion of the liver in segments V, VI and VII extending to the right lateral chest wall, forming a collection in an intermuscular plane. Biological tests were normal. The initial diagnosis was a hydatid cyst of the liver, and surgery was decided upon. However, histological examination of the cyst wall revealed tuberculoid granulomatous inflammation with caseous necrosis. The diagnosis of hepatic tuberculosis was retained, and antituberculosis treatment was instituted, the patient having progressed well. Analysis of this case report and of the literature suggests that this condition is rare, polymorphous and not very suggestive.
Keywords: Tuberculosis, liver, hypochondrium pain, visceral surgery