A Case of Single Mass Forming Hepatic Tuberculoma.

Choi, Yu Ah; Hwang, Se Woong; Cho, Nam Yeol; Sun, Hyeong Ju; Ko, Yun Myoung; Lee, Shin Hee; Kwak, Hyoung Jong

Case Report

Keimyung Medical Journal 2015;34(2):197-203.
Published online December 15, 2015.

A Case of Single Mass Forming Hepatic Tuberculoma.

Yu Ah Choi, Se Woong Hwang, Nam Yeol Cho, Hyeong Ju Sun, Yun Myoung Ko, Shin Hee Lee, Hyoung Jong Kwak

¹Department of Internal Medicine, Daejeon Sun Hospital, Daejeon, Korea. mdhwangse@naver.com
²Department of Pathology, Daejeon Sun Hospital, Daejeon, Korea.

Abstract

Tuberculosis mainly develops in the lung, but may also rarely invade other parts of the abdominal region. Abdominal tuberculosis is associated with pulmonary tuberculosis in approximately 15% of cases, and abdominal tuberculosis primarily develops in the terminal ileum and lymphatic gland. Moreover, hepatic tuberculosis is uncommon and is usually accompanied with active pulmonary or miliary tuberculosis. Hence, the development of primary hepatic tuberculoma as a single liver mass is very unusual. In the present report, we describe the case of a 63-year-old man with a solitary hepatic tuberculoma; the 6.4 cm mass was incidentally detected during abdominal computed tomography in the asymptomatic patient, and the diagnosis was confirmed by liver biopsy through ultrasonography-guided fine-needle aspiration.

Key Words: Abdominal computed tomography, Liver, Tuberculosis