Misidentification of hepatic tuberculosis as cholangiocarcinoma:A case report
作者机构：The Affiliated Nanhua HospitalDepartment of RadiologyHengyang Medical SchoolUniversity of South ChinaHengyang 421002Hunan ProvinceChina The Affiliated Nanhua HospitalDepartment of GastroenterologyHengyang Medical SchoolUniversity of South ChinaHengyang 421002Hunan ProvinceChina
出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)
年 卷 期：2021年第9卷第31期
页 面：9662-9669页
核心收录：
学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学]
主 题：Hepatic tuberculosis Pathology Differential diagnosis Clinical Management Case report
摘 要：BACKGROUND Hepatic tuberculosis(TB)is uncommon *** of a lack of specific signs,characteristic symptoms and clinical manifestations and because pathological samples are difficult to obtain,hepatic TB is easily missed or *** SUMMARY A 62-year-old Chinese man presented with jaundice for 1 wk and no abnormal laboratory tests other than elevated bilirubin,aminotransferases and C-reactive *** tomography(CT)of the abdomen showed a mass in the left lobe of the liver and hepatic hilum with striped calcified *** enhancement was visible at the edges,along with extensive intrahepatic biliary ductal dilatation in the right lobe of the *** the arterial phase of both CT and magnetic resonance imaging,the main trunk and right branch of the portal artery were partially *** resonance cholangiopancreatography(MRCP)indicated that the left lobe of the liver and most of the bile ducts in the hilum were not *** examination revealed coagulative necrosis,and granulomatous nodules were seen around areas of necrosis;therefore,TB was *** Hepatic tuberculosis is easily misdiagnosed or missed on *** puncture biopsy is the most useful tool for definitive diagnosis.
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