Open AccessHepatic tuberculosis mimicking Klatskin tumor: A diagnostic dilemma
Author(s) -
Raman Arora,
Alok Sharma,
Prashant Bhowate,
Vijender Kumar Bansal,
Sandeep Guleria,
Amit Kumar Dinda
Publication year - 2008
Publication title -
indian journal of pathology and microbiology/indian journal of pathology and microbiology
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 0.217
H-Index - 31
eISSN - 0974-5130
pISSN - 0377-4929
DOI - 10.4103/0377-4929.42517
Subject(s) - porta hepatis , medicine , tuberculoma , klatskin tumor , tuberculosis , differential diagnosis , miliary tuberculosis , presentation (obstetrics) , pathology , radiology , surgery , resection
Tubercular involvement of liver is rare and usually occurs in association with pulmonary or miliary tuberculosis, as diffuse involvement without recognizable pulmonary tuberculosis or rarely in a localized form, which presents as a tuberculoma or tubercular abscess. We report the case of a 22-year-old boy presenting with features of obstructive jaundice and a clinico-radiological picture highly suggestive of a perihilar cholangiocarcinoma (Klatskin tumor), but found to have tubercular involvement of porta hepatis. We review the literature on this unusual presentation, highlight the considerable diagnostic challenge such cases can pose, and also emphasize the need to consider tuberculosis in differential diagnosis of lesions involving the porta hepatis, particularly in areas endemic for the disease.