Case Report
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World J Hepatol. Sep 27, 2010; 2(9): 354-357
Published online Sep 27, 2010. doi: 10.4254/wjh.v2.i9.354
Isolated liver tuberculosis abscess in a patient without immunodeficiency: A case report
Karim Ibn Majdoub Hassani, Abdelmalek Ousadden, Amal Ankouz, Khalid Mazaz, Khalid Ait Taleb
Karim Ibn Majdoub Hassani, Khalid Mazaz, Department of General Surgery “B”, Universitet Hospital Hassan II, Fez 30000, Morocco
Abdelmalek Ousadden, Amal Ankouz, Khalid Ait Taleb, Department of General Surgery “A”, Universitet Hospital Hassan II, Fez 30000, Morocco
Author contributions: Ibn Majdoub HK is a surgeon who drafted the manuscript and revised it critically for content; Ankouz A and Ousadden A were involved in literature research and were major contributors in writing the manuscript; and Mazaz K and Taleb KA were the surgeons treating the patient and were involved in critically revising the draft for content.
Correspondence to: Kaim Ibn Majdoub Hassni, MD, Department of General Surgery “B”, Universitet Hospital Hassan II, 16, rue Dominique, AV Abi Horayra, Zohor I, Fez 30000, Morocco. ibnmajdoubkarim@yahoo.fr
Telephone: +212665600722
Received: January 12, 2010
Revised: August 14, 2010
Accepted: August 21, 2010
Published online: September 27, 2010
Abstract

Although hepatic tuberculosis is not a rare disease entity, tubercular liver abscess (TLA) is extremely rare. It is usually associated with foci of infection either in the lung and/or gastrointestinal tract or with an immunocompromised state. An isolated or primary TLA with no evidence of tuberculosis elsewhere is even rarer. We report on a 28 year old man who developed an isolated tuberculous liver abscess not associated with lung involvement. Ultrasonography and computed tomography of the abdomen showed the abscess lesions in the liver but the diagnosis of tuberculosis was confirmed by histological examination of the wall of the abscess after surgical drainage. Although tuberculous liver abscess is very rare, it should be included in the differential diagnosis of abscess and unknown hepatic mass lesions.

Keywords: Liver, Isolated abscess, Tuberculosis, Surgical drainage, Histological examination