Open AccessPrimary Liver Abscess with Anterior Abdominal Wall Extension Caused by Mycobacterium tuberculosis Complex
Author(s) -
Jayashri Sanjay Pandya,
Rahul Vilas Kandekar,
Ashutosh Tiwari,
Rahul G. Kadam,
Devbrata Adhikari
Publication year - 2016
Publication title -
journal of clinical and diagnostic research
Language(s) - English
Resource type - Journals
eISSN - 2249-782X
pISSN - 0973-709X
DOI - 10.7860/jcdr/2016/21845.8795
Subject(s) - mycobacterium tuberculosis , medicine , extension (predicate logic) , tuberculosis , abdominal wall , abscess , abdominal tuberculosis , microbiology and biotechnology , pathology , surgery , biology , computer science , programming language
Tubercular liver abscess is generally secondary to some other primary foci in the body, most notably pulmonary and gastrointestinal system. To find primary tubercular liver abscess is rare, with prevalence of 0.34% in patients with hepatic tuberculosis. Abscess tracking into abdominal wall from spinal and para spinal tuberculosis is known, however primary liver tuberculosis rupturing into anterior abdominal wall has been reported only twice in literature. We report a case of 43-year-old female with direct invasion of the anterior abdominal wall from an isolated tubercular parenchymal liver abscess, caused by Mycobacterium tuberculosis complex, diagnosed primarily on smear for Acid Fast Bacilli (AFB), imaging and isolated by culture and BACTEC MGIT 960 KIT. We discuss here the diagnostic dilemma, management and outcome of primary tubercular liver parenchymal abscess with direct invasion into anterior abdominal wall.