Hepatic hilar mass in an adolescent: a rare case of hepatobiliary tuberculosis
Hepatic hilar mass in an adolescent: a rare case of hepatobiliary tuberculosis
复制标题
青少年肝门肿块：罕见的肝胆结核病例
DOI：
10.1186/s12879-019-3850-5
复制
发表时间：
2019-03-04
影响因子：
3.7
通讯作者：
Kong, Jing
中科院分区：
文献类型：
--
作者：
Pang, Liwei;Wu, Shuodong;Kong, Jing
BackgroundHepatobiliary tuberculosis is a rare manifestation ofMycobacterium tuberculosisinfection, especially in younger patients. The non-specific symptoms and signs as well as the lack of definite imaging characteristics often impedes diagnosis. Definite diagnosis of tuberculosiscan be obtained through histopathological examination; conventional anti-tuberculosis drugs and surgery are the most commonly recommended treatments.Case presentationA previously healthy 15-year-old rural adolescent male presented with a 2-month history of weight loss and fatigue. We strongly suspected a Klatskin tumor; therefore, exploratory laparotomy was performed. However, the microscopical findings revealed a granuloma consisting of epithelioid cells, caseous necrosis, and lymphocytic infiltration, indicating caseating granulomatous inflammation and yielding a final diagnosis of hepatic hilar tuberculosis.ConclusionHepatic hilar tuberculosis is an extremely rare case; few physicians may have actually treated a case. This report therefore aims to improve the overall understanding of lymphatic tuberculosis of the hepatic hilum.
