Rare pseudotumoral hepatic tuberculosis mimicking malignancy: a diagnostic and therapeutic challenge
Pseudotumoral hepatic tuberculosis (TB) is an exceptionally rare manifestation of TB, often mimicking hepatic malignancy on imaging studies. We report the case of a 51-year-old female diagnosed with a low-grade tubulovillous adenoma of the ampulla of Vater, who presented with hepatic lesions initial...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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SMC MEDIA SRL
2025-02-01
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| Series: | European Journal of Case Reports in Internal Medicine |
| Subjects: | |
| Online Access: | https://www.ejcrim.com/index.php/EJCRIM/article/view/5162 |
| _version_ | 1826553028675633152 |
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| author | Mohamed Labied Rahma Khabab Chorouk Mountassir Ghizlane Lembarki Mouna Sabiri Samira Lezar |
| author_facet | Mohamed Labied Rahma Khabab Chorouk Mountassir Ghizlane Lembarki Mouna Sabiri Samira Lezar |
| author_sort | Mohamed Labied |
| collection | DOAJ |
| description | Pseudotumoral hepatic tuberculosis (TB) is an exceptionally rare manifestation of TB, often mimicking hepatic malignancy on imaging studies. We report the case of a 51-year-old female diagnosed with a low-grade tubulovillous adenoma of the ampulla of Vater, who presented with hepatic lesions initially suspected to be metastatic. Magnetic resonance imaging (MRI) revealed multiple hypointense lesions with heterogeneous enhancement and restricted diffusion. Histopathological examination of a liver biopsy confirmed the diagnosis of pseudotumoral TB. The patient underwent a 6-month course of antitubercular therapy, after which follow-up MRI demonstrated complete resolution of the hepatic lesions. This case highlights the importance of considering pseudotumoral hepatic TB in the differential diagnosis of hepatic masses, particularly in regions with a high prevalence of TB. Histological confirmation remains essential, and timely initiation of antitubercular treatment can result in excellent clinical outcomes. |
| first_indexed | 2025-03-14T07:18:30Z |
| format | Article |
| id | doaj.art-252cee0f96f44195b6c74850a67e5d2d |
| institution | Directory Open Access Journal |
| issn | 2284-2594 |
| language | English |
| last_indexed | 2025-03-14T07:18:30Z |
| publishDate | 2025-02-01 |
| publisher | SMC MEDIA SRL |
| record_format | Article |
| series | European Journal of Case Reports in Internal Medicine |
| spelling | doaj.art-252cee0f96f44195b6c74850a67e5d2d2025-03-03T14:59:44ZengSMC MEDIA SRLEuropean Journal of Case Reports in Internal Medicine2284-25942025-02-0110.12890/2025_0051624697Rare pseudotumoral hepatic tuberculosis mimicking malignancy: a diagnostic and therapeutic challengeMohamed Labied0Rahma Khabab1Chorouk Mountassir2Ghizlane Lembarki3Mouna Sabiri4Samira Lezar5Ibn Rochd University Hospital, Faculty of Medicine and Pharmacy of Casablanca, Casablanca, MoroccoIbn Rochd University Hospital, Faculty of Medicine and Pharmacy of Casablanca, Casablanca, MoroccoIbn Rochd University Hospital, Faculty of Medicine and Pharmacy of Casablanca, Casablanca, MoroccoIbn Rochd University Hospital, Faculty of Medicine and Pharmacy of Casablanca, Casablanca, MoroccoIbn Rochd University Hospital, Faculty of Medicine and Pharmacy of Casablanca, Casablanca, MoroccoIbn Rochd University Hospital, Faculty of Medicine and Pharmacy of Casablanca, Casablanca, MoroccoPseudotumoral hepatic tuberculosis (TB) is an exceptionally rare manifestation of TB, often mimicking hepatic malignancy on imaging studies. We report the case of a 51-year-old female diagnosed with a low-grade tubulovillous adenoma of the ampulla of Vater, who presented with hepatic lesions initially suspected to be metastatic. Magnetic resonance imaging (MRI) revealed multiple hypointense lesions with heterogeneous enhancement and restricted diffusion. Histopathological examination of a liver biopsy confirmed the diagnosis of pseudotumoral TB. The patient underwent a 6-month course of antitubercular therapy, after which follow-up MRI demonstrated complete resolution of the hepatic lesions. This case highlights the importance of considering pseudotumoral hepatic TB in the differential diagnosis of hepatic masses, particularly in regions with a high prevalence of TB. Histological confirmation remains essential, and timely initiation of antitubercular treatment can result in excellent clinical outcomes.https://www.ejcrim.com/index.php/EJCRIM/article/view/5162livermrituberculosispseudotumor |
| spellingShingle | Mohamed Labied Rahma Khabab Chorouk Mountassir Ghizlane Lembarki Mouna Sabiri Samira Lezar Rare pseudotumoral hepatic tuberculosis mimicking malignancy: a diagnostic and therapeutic challenge European Journal of Case Reports in Internal Medicine liver mri tuberculosis pseudotumor |
| title | Rare pseudotumoral hepatic tuberculosis mimicking malignancy: a diagnostic and therapeutic challenge |
| title_full | Rare pseudotumoral hepatic tuberculosis mimicking malignancy: a diagnostic and therapeutic challenge |
| title_fullStr | Rare pseudotumoral hepatic tuberculosis mimicking malignancy: a diagnostic and therapeutic challenge |
| title_full_unstemmed | Rare pseudotumoral hepatic tuberculosis mimicking malignancy: a diagnostic and therapeutic challenge |
| title_short | Rare pseudotumoral hepatic tuberculosis mimicking malignancy: a diagnostic and therapeutic challenge |
| title_sort | rare pseudotumoral hepatic tuberculosis mimicking malignancy a diagnostic and therapeutic challenge |
| topic | liver mri tuberculosis pseudotumor |
| url | https://www.ejcrim.com/index.php/EJCRIM/article/view/5162 |
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