Probable hepatic tuberculosis masquerading as Klatskin tumour in an immunocompetent patient

A 55-year-old immunocompetent woman was presented with features of obstructive jaundice and a clinicoradiological picture suggestive of a hilar cholangiocarcinoma (Klatskin tumour). However, caseating granulomatous lesion associated with miliary nodules were revealed intraoperatively. The lesion res...

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Veröffentlicht in:	BMJ case reports 2013-12, Vol.2013, p.bcr2013010262
Hauptverfasser:	Hanafiah, Mohammad, Alhabshi, Sharifah Majedah Idrus, Bag, Tribeni, Low, Soo Fin
Format:	Artikel
Sprache:	eng
Schlagworte:	Abdomen Asia Bile Duct Neoplasms - diagnosis Bile ducts Calcification Diagnosis, Differential Disease Female Granulomas Hepatic Duct, Common - microbiology Hepatic Duct, Common - pathology Humans Immunocompetence Jaundice, Obstructive - diagnosis Jaundice, Obstructive - etiology Jaundice, Obstructive - microbiology Klatskin Tumor - diagnosis Leprosy Liver Liver - microbiology Liver - pathology Lymphatic system Middle Aged Mycobacterium Other Asian Surgery Tuberculosis Tuberculosis, Hepatic - diagnosis Tuberculosis, Hepatic - microbiology Tuberculosis, Hepatic - pathology Unusual Presentation of More Common Disease/Injury
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Zusammenfassung:	A 55-year-old immunocompetent woman was presented with features of obstructive jaundice and a clinicoradiological picture suggestive of a hilar cholangiocarcinoma (Klatskin tumour). However, caseating granulomatous lesion associated with miliary nodules were revealed intraoperatively. The lesion responded to standard antituberculous therapy. This unusual presentation highlights the considerable diagnostic challenge in such case.
ISSN:	1757-790X 1757-790X
DOI:	10.1136/bcr-2013-010262