Extra-pulmonary tuberculosis presenting as obstructive jaundice
Journal Title: Archives of Medical Science - Year 2007, Vol 3, Issue 1
Abstract
Obstructive jaundice as the sole presentation of extra-pulmonary tuberculosis is a rare entity with only a few cases reported in the literature. Patients with this condition usually present with a protracted illness, jaundice and weight loss, which may be confused with hepatobiliary malignancies. A 45-year-old male alcoholic presented with a history of jaundice associated with low-grade intermittent fever and weight loss of one year duration. Diagnostic imaging techniques revealed multiple ill defined nonenhancing lesions in the liver with a 1.0 x 1.0 cm rounded lesion at the porta hepatis and intrahepatic biliary radical dilatation (IHBRD). A provisional diagnosis of Klatskin tumour (cholangio carcinoma involving the confluence of hepatic ducts) with liver secondaries was made. Subsequent histopathology showed caseating granulomatous lymphadenitis with epitheloid granulomas present periportally. He was treated successfully with a four-drug antituberculous regimen with complete resolution of symptoms.
Authors and Affiliations
Jomal Mathew, Mithun Raj, Tarun Dutta, Bhawana Badhe, Ratnakar Sahoo, Mukta Venkatesan
Keywords
Related Articles
- EP ID EP107471
- DOI -
- Views 150
- Downloads 0
TGF-β regulates invasive behavior of human pancreatic cancer cells by controlling Smad expression
Introduction: To investigate the role of Smads in tumor cell activation, we examined changes in Smad expression as well as changes in proliferative and invasive behaviors in transforming growth factor-β (TGF-β) – stimula...
Heart rate variability in patients with recurrent syncope
Introduction: The autonomic nervous system participates in the pathophysiology of vasovagal syncope. The disturbances in the autonomic nervous system can be measured by heart rate variability (HRV). The aim of the stud...
Endocrine disorders in children with craniopharyngiomas during the preoperative period
Introduction: The aim of the study was an assessment of the type and incidence of endocrine disorders against the background of general, neurological and ophthalmological symptoms, observed during the preoperative period...
Dynamics of changes of the BNP concentration in patients with stable angina pectoris qualified for PTCA. Dependence on the selected morphological and haemodynamic parameters
Introduction: Cardiomyocytes of human heart ventricles synthesize and generate BNP. The effect of BNP on the volume of the vascular bed contributes significantly to successful arterial pressure control. The usefulness of...
Mutation analysis in Saudi Duchenne and Becker muscular dystrophy patients using multiplex PCR