52 patients suffered from hepatic multi-abscess with different causes, suitable for selected study criteria have been treated in combination of internal therapeutics and ECHO controlled pus-sucking. The result: Male/female: 49/3; The biggest number of abscesses in the patient was 20, the smallest number was 2. At each percutaneous puntion, pus-suckings were done maximally for 3 abscesses, minimally for 1 abscess. In a performance, 2-3 percutaneous functions, were applied and pus-suckings were done maximally at 5 abscesses. Most abscesses (75.6%) needed one pus-sucking; 24.4% of the rest needed 2-3 times. Therapeutics result: all patients recovered (52/52).
Tuberculosis, Hepatic ; ultrasonography

Humans ; Tuberculosis, Hepatic

Primary hepatic tuberculosis is extremely rare, but liver and spleen involvement secondary to tuberculosis isfrequentand of clinical importance, because of its demonstrability by biopsy. Complete absence of Tc-99m-SulfurColloid uptake of spleen due to splenic tubeculosis has not been reported. We experienced one case of liver andspleen tuberculosis which revealed complete absence of Tc-99m
Biopsy ; Colloids ; Liver ; Spleen ; Tuberculosis ; Tuberculosis, Hepatic

Humans ; Male ; Middle Aged ; Tuberculoma ; Tuberculosis, Hepatic

A case of infiltrative type of hepatic tuberculosis is presented. Ultrasonography revealed a very ill-margined, heterogenously low echoic lesion in the right hepatic lobe. CT scans demonstrated a very ill-defined, geographic, hypodense lesion with minimal contrast enhancement mimicking cholangiohepatitis or infiltrative tumor in the right hepatic lobe.
Liver ; Tomography, X-Ray Computed ; Tuberculosis ; Tuberculosis, Hepatic* ; Ultrasonography*

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.
Biopsy ; Biopsy, Fine-Needle ; Diagnosis ; Humans ; Ileum ; Liver ; Lung ; Middle Aged ; Tuberculoma* ; Tuberculosis ; Tuberculosis, Hepatic ; Tuberculosis, Miliary ; Tuberculosis, Pulmonary

Tuberculosis is a systemic disease that can occur anywhere in body. Its incidence is various according to the organ or location, and TB in an organ where the general incidence is rare causes so many unexpected symptoms and complications that physicians can sometimes be baffled when attempting to make a diagnosis. If this rare occurrence of TB in an unusual location results in non-specific symptoms, then it is important not to overlook the possibility of tuberculosis. Hepatic tuberculosis is mainly a secondary type of disease that has disseminated from the lungs or other organs. Because a primary TB focus in the liver is rare, in the case in which the lung or other organs have no tuberculosis, it is extremely difficult to arrive at the proper diagnosis of primary hepatic tuberculosis. The authers experienced a case of primary tuberculous granuloma that was associated with intrahepatic duct stones and abscess. This patient was first diagnosed as suffering with intrahepatic duct stones and abscess only. We discovered the associated tuberculous granuloma of the liver by histologic examination after hepatectomy. We report on this case with a review of the relevant literature.
Abscess* ; Diagnosis ; Granuloma ; Hepatectomy ; Humans ; Incidence ; Liver ; Lung ; Tuberculoma* ; Tuberculosis ; Tuberculosis, Hepatic

Hepatic tuberculosis (TB) is usually associated with pulmonary or miliary TB, but primary hepatic TB is very uncommon even in countries with high prevalence of TB. The clinical manifestation of primary hepatic TB is atypical and imaging modalities are unhelpful for differential diagnosis of the liver mass. Image-guided needle biopsy is the best diagnostic method for primary hepatic TB. In the cases presented here, we did not perform liver biopsy because we believed the liver masses were cholangiocarcinoma, but primary hepatic TB was ultimately confirmed by postoperative pathology. Here we report two cases of patients who were diagnosed with primary hepatic TB mimicking mass-forming intrahepatic cholangiocarcinoma.
Biopsy ; Biopsy, Needle ; Cholangiocarcinoma* ; Diagnosis, Differential ; Hepatectomy ; Humans ; Liver ; Pathology ; Prevalence ; Tuberculosis ; Tuberculosis, Hepatic* ; Cholangiocarcinoma

Involvement of the liver is very common in military tuberculosis, but despite this fact, jaundice and hepatocellular dysfunction very rarely occur in this disease. Here, we report the case of a 59-year-old male patient who presented with acute hepatitis. After being admitted for fever and right upper quadrant pain for a 3-day period, military tuberculosis was diagnosed and treated with antituberculosis medication. Despite treatment, which was based on laboratory results and radiologic findings suggestive of acute hepatitis, fever persisted, jaundice developed, and hepatic enzyme levels increased. Percutaneous liver biopsy was performed to assist in the differential diagnosis of acute hepatitis and findings from the biopsy specimen revealed typical hepatic tuberculosis. Antituberculosis treatment was initiated, and the fever gradually subsided and hepatic enzyme levels decreased.
Biopsy ; Diagnosis, Differential ; Fever ; Hepatitis ; Humans ; Jaundice ; Liver ; Male ; Middle Aged ; Military Personnel ; Tuberculosis ; Tuberculosis, Hepatic

In this report, a 70-year-old female patient was detected with laboratory findings of hypercalcemia. The most common causes of hypercalcemia are primary hyperparathyroidism and malignant disease. Her laboratory tests did not show any evidence for neither primary hyperparathyroidism nor malignant diseases. Thus, granulomatous disease was suspected as the cause of the hypercalcemia. Liver MRI (magnetic resonance image) was performed on the subject, which suggested the presence of hepatic tuberculosis and sarcoidosis. Because the chest x-ray did not show a definite tuberculous lesion, we performed a laparoscopic liver biopsy for a final diagnosis. Findings from the biopsy specimen showed typical tuberculosis. After treatment with tuberculosis medication, hypercalcemia of the subject was resolved. Hypercalcemia is a well recognized as a possible complication of active pulmonary tuberculosis. But one should consider hepatic tuberculosis without pulmonary tuberculosis as a cause of hypercalcemia.
Aged ; Biopsy ; Diagnosis ; Female ; Humans ; Hypercalcemia* ; Hyperparathyroidism, Primary ; Liver ; Magnetic Resonance Imaging ; Sarcoidosis ; Thorax ; Tuberculosis ; Tuberculosis, Hepatic* ; Tuberculosis, Pulmonary