A Puzzling Case of Biliary Stricture with Calcified Liver Nodules
- Author:
Leow VM
- Publication Type:Case Report
- Keywords:
Oncology Cluster, Advanced Medical and Dental Institute (AMDI), Universiti Sains Malaysia, Penang, Malaysia
- From:
The International Medical Journal Malaysia
2013;12(2):79-82
- CountryMalaysia
- Language:English
-
Abstract:
Tuberculous (TB) biliary stricture with calcified liver nodules rendering obstructive jaundice is a rare
clinical phenomenon. Recently, we encountered a young patient with obstructive jaundice who was investigated
in a general hospital. He was sent to our hospital for subsequent management after undergoing a series of
investigations and biliary stenting. The radiological imagings performed revealed multiple calcified lesions in
the liver with proximal bile duct strictures. Blood investigations, tumor markers and tuberculous work up were
not remarkable. Subsequently, he underwent laparotomy and biliary reconstruction. Postoperatively, he was
discharged well. Histopathological examination of the hepatoduodenal nodes showed chronic infections and
granulomatous lymphadenitis, suspicious of a mycobacterium infection.
