■同时发生的结核分枝杆菌(MTB)影响肺和腹部内脏是相当普遍的,但孤立性肝结核(TB)的实例没有并发结核病的临床症状是非常罕见的。
方法:我们介绍一例55岁女性主诉腹痛,减肥,发烧和排便习惯的改变。通过显微镜检查明确诊断为肝结核,显示坏死性肉芽肿性炎症伴有干酪样坏死。患者接受抗结核治疗,随访期间未出现任何明显的副作用。
■无活动性肺结核的肝结核非常罕见。病人出现腹痛,发烧,体重减轻和黄疸。诊断过程包括CT(计算机断层扫描)成像和随后的活检以在组织病理学上确认。按照同样的方法,我们对显示为肝结核的靶向肝病灶进行了活检.在大多数情况下,它是用抗结核药物治疗。然而,一些复杂的病例可能需要手术干预。
结论:本病例报告强调了在结核病流行地区,考虑到结核病作为下消化道症状患者的潜在病因的重要性,强调了肝结核与肝脏孤立受累的诊断挑战。为了预防腹部结核病的严重并发症,早期诊断和及时治疗至关重要。
UNASSIGNED: The co-occurrence of Mycobacterium tuberculosis (MTB) affecting both the lungs and abdominal viscera is quite common, but instances of isolated Hepatic tuberculosis (TB) without concurrent clinical signs of TB are exceedingly rare.
METHODS: We present a case of a 55-year-old woman who complained of abdominal pain, weight loss, fever and changes in bowel habits. A definitive diagnosis of hepatic TB was made through microscopic examination, revealing necrotizing granulomatous inflammation accompanied by caseous necrosis. The patient received antitubercular therapy without experiencing any noticeable side effects during follow-up.
UNASSIGNED: Hepatic TB without active pulmonary TB is quite rare case. The patient presents with abdominal pain, fever, weight loss and jaundice. The diagnostic process includes CT (computerize tomography) imaging and subsequent biopsy to confirm it histopathologically. Following the same approach, we did biopsy from the targeted hepatic lesion that showed hepatic tuberculosis. In most cases it is treated with anti-tubercular drugs. However, some complicated cases might need surgical intervention.
CONCLUSIONS: This case report highlights the significance of considering TB into account as a potential cause in patients with lower gastrointestinal symptoms in TB endemic areas by emphasizing the diagnostic challenges posed by hepatic tuberculosis with isolated liver involvement. In order to prevent serious complications of abdominal TB, early diagnosis and timely treatment is crucial.