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 |
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| container_title | BMJ case reports |
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| creator | Hanafiah, Mohammad Alhabshi, Sharifah Majedah Idrus Bag, Tribeni Low, Soo Fin |
| description | 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. |
| doi_str_mv | 10.1136/bcr-2013-010262 |
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However, caseating granulomatous lesion associated with miliary nodules were revealed intraoperatively. The lesion responded to standard antituberculous therapy. 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This unusual presentation highlights the considerable diagnostic challenge in such case.</description><subject>Abdomen</subject><subject>Asia</subject><subject>Bile Duct Neoplasms - diagnosis</subject><subject>Bile ducts</subject><subject>Calcification</subject><subject>Diagnosis, Differential</subject><subject>Disease</subject><subject>Female</subject><subject>Granulomas</subject><subject>Hepatic Duct, Common - microbiology</subject><subject>Hepatic Duct, Common - pathology</subject><subject>Humans</subject><subject>Immunocompetence</subject><subject>Jaundice, Obstructive - diagnosis</subject><subject>Jaundice, Obstructive - etiology</subject><subject>Jaundice, Obstructive - microbiology</subject><subject>Klatskin Tumor - diagnosis</subject><subject>Leprosy</subject><subject>Liver</subject><subject>Liver - microbiology</subject><subject>Liver - pathology</subject><subject>Lymphatic system</subject><subject>Middle Aged</subject><subject>Mycobacterium</subject><subject>Other Asian</subject><subject>Surgery</subject><subject>Tuberculosis</subject><subject>Tuberculosis, Hepatic - diagnosis</subject><subject>Tuberculosis, Hepatic - microbiology</subject><subject>Tuberculosis, Hepatic - pathology</subject><subject>Unusual Presentation of More Common Disease/Injury</subject><issn>1757-790X</issn><issn>1757-790X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqFkcFLHDEUh0NRqmw991YGehFhNMnLTDIXQcSqKOjBQqGHkGQyu9lOJmsyI_jfN8tY0V7M5T3Ily95-SH0leBjQqA-0SaWFBMoMcG0pp_QPuEVL3mDf-286ffQQUprnBcQJhh8RnuUAQPeNPvo930MWuneFiu7UaMzxThpG83Uh-RS4VV6nGxUrRuWhUrFTa_G9McNmfJhikXu1FA476chmOA3drTDWGxFuX5Bu53qkz14qQv088fFw_lVeXt3eX1-dltqxggtO8utqYArXDetMl0LosXYEMNU00KnhdAWMNON6iwhFaUAUGHSaV61Na0sLNDp7N1M2tvW5Kuj6uUmOq_iswzKyfc7g1vJZXiSIISooMmCwxdBDHncNErvkrF9rwYbpiQJqxuKa4FFRr__h67zPwx5PEm4AMqBZeUCncyUiSGlaLvXxxAst9nJnJ3cZifn7PKJb29neOX_JZWBoxnQfv2h7S-LAKQv</recordid><startdate>20131216</startdate><enddate>20131216</enddate><creator>Hanafiah, Mohammad</creator><creator>Alhabshi, Sharifah Majedah Idrus</creator><creator>Bag, Tribeni</creator><creator>Low, Soo Fin</creator><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20131216</creationdate><title>Probable hepatic tuberculosis masquerading as Klatskin tumour in an immunocompetent patient</title><author>Hanafiah, Mohammad ; 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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.</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>24343799</pmid><doi>10.1136/bcr-2013-010262</doi><oa>free_for_read</oa></addata></record> |
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| subjects | 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 |
| title | Probable hepatic tuberculosis masquerading as Klatskin tumour in an immunocompetent patient |
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