Hepatic Tuberculosis Granuloma Mimicking Hilar Cholangiocarcinoma Confirmed by Endoscopic Ultrasound-Guided Fine-Needle Aspiration.
- Author:
Hyun Sung YOON
1
;
Young Koog CHEON
;
Tae Yoon LEE
;
Chan Sup SHIM
;
Eung Jun LEE
;
Yoon Serk LEE
;
Hye Seung HAN
Author Information
1. Department of Internal Medicine, Konkuk University School of Medicine, Seoul, Korea. yksky001@hanmail.net
- Publication Type:Case Report
- Keywords:
Tuberculosis, hepatic;
Endoscopic ultrasound-guided fine needle aspiration
- MeSH:
Abdomen;
Adult;
Biopsy, Fine-Needle;
Cholangiocarcinoma;
Endoscopic Ultrasound-Guided Fine Needle Aspiration;
Endosonography;
Granuloma;
Humans;
Liver Neoplasms;
Magnetic Resonance Imaging;
Male;
Positron-Emission Tomography;
Tuberculosis;
Tuberculosis, Hepatic;
Tuberculosis, Miliary
- From:Korean Journal of Medicine
2013;85(4):396-400
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Hepatic tuberculosis is usually associated with active pulmonary or miliary tuberculosis. The occurrence of an isolated hepatic mass-forming tuberculosis with no evidence of tuberculosis elsewhere is rare. We report a case of a 31-year-old male with a solitary hepatic granuloma mimicking a mass-forming intrahepatic cholangiocarcinoma. Ultrasonography, computed tomography, magnetic resonance imaging, and positron emission tomography of the abdomen showed a malignant tumor-like lesion. We then conducted endoscopic ultrasonography (EUS) and EUS-guided fine-needle aspiration (EUS-FNA) for confirmation of the hepatic hilar mass, which was found to be a hepatic tuberculosis granuloma as the final diagnosis.
