A case of primary solitary tuberculoma of the liver treated with antituberculosis chemotherapy and surgical excision.
- Author:
Won MOON
1
;
Moon Seok CHOI
;
Joon Hyoek LEE
;
Min Kyu RYU
;
Sang Soo LEE
;
Wook Tae KANG
;
Jong Rak HONG
;
Mun Hee BAE
;
Kyung Su LEE
;
Seung Woon PAIK
;
Jong Chul RHEE
;
Kyoo Wan CHOI
;
Jae Won CHO
;
Cheol Keun PARK
Author Information
1. Division of Gastroenterology, Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Tuberculosis, hepatic
- MeSH:
Adult;
Biopsy;
Chills;
Drug Therapy*;
Giant Cells;
Humans;
Inflammation;
Liver*;
Necrosis;
Rare Diseases;
Recurrence;
Tuberculoma*;
Tuberculosis, Hepatic;
Weight Loss
- From:Korean Journal of Medicine
2001;61(1):77-81
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The solitary form of primary hepatic tuberculosis is a rare disease. We report an unusual case of primary solitary hepatic tuberculosis treated with surgical resection and second-line antituberculosis chemotherapy due to the recurrence after first-line antituberculosis chemotherapy alone. A 36-year-old man was presented with right upper abdominal discomfort, chills and weight loss for 2 months. Computerized tomography demonstrated the solitary space occupying lesion on the left lobe of liver suggesting a malignant disease. The open biopsy revealed chronic granulomatous inflammation with multinucleated giant cells and caseous necrosis. The patient was treated with antituberculosis chemotherapy for nine months and eighteen months respectively with the interval of eighteen months. But the hepatic lesion had become larger and symptoms were aggravated after the discontinuation of therapy. He underwent surgical excision of the lesioin. With second-line antituberculosis chemotherapy, the symptoms improved in postoperative days. Twenty four months later, no evidence of recurrence was noted in symptoms, laboratory findings and imaging studies.
