Disseminated Omental and Liver Tuberculosis Mimicking Metastatic Deposit - Role of Image Guided FNA/Biopsy- A Case Report
Journal Title: Journal of Chalmeda AnandRao Institute of Medical Sciences - Year 2017, Vol 13, Issue 1
Abstract
Tuberculosis is one of the common infection in developing countries, like India and affecting almost any organ or system. Omentum and liver tuberculosis together are rare form of disseminated tuberculosis. Here we reported a 49, year male, presented with abdominal pain, loss of apetite and loss of weight. On ultrasound abdomen displayed ascites with omental caking and illdefined lesion in liver worrisome for metastatic deposit. Ultrasound guided FNA and gun shot biopsy performed from liver and omentum respectively. Gene Xpert sampling, cytology smear from liver and histological examination from omentum biopsy reveal tuberculus granulomatous inflammation.This unusual presentation highlights the considerable diagnostic challenge, importance of image guidence FNA/Biopsy and recently advanced molecular techniques have provided a new approach to the rapid diagnosis of tuberculosis by polymerase chain reaction (PCR) and helps in early management.
Authors and Affiliations
Majed B Momin, Sandeep S, Anamika Aluri, Abhijeet I, Karishma Rosann Pereira
Keywords
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