Tuberculose hepática pseudotumoral
Tuberculous involvement of the liver is usually a diffuse process, associated with miliary tuberculosis. However localized tuberculosis of the liver producing a macronodular tuberculoma or an abscess is rare. The authors present a case of pseudotumoral hepatic tuberculosis in a 34-year old woman. Th...
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Gespeichert in:
| Autor*in: |
Antonio Nocchi Kalil [verfasserIn] Fernanda Alvarez Coelho [verfasserIn] Gislaine Silveira Olm [verfasserIn] |
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E-Artikel |
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Englisch ; Spanisch ; Portugiesisch |
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In: Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões, 2005 |
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| DOI / URN: |
10.1590/S0100-69911999000300015 |
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DOAJ04657672X |
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| 520 | |a Tuberculous involvement of the liver is usually a diffuse process, associated with miliary tuberculosis. However localized tuberculosis of the liver producing a macronodular tuberculoma or an abscess is rare. The authors present a case of pseudotumoral hepatic tuberculosis in a 34-year old woman. This patient presented a 2 month history of fever weight loss of 4Kg and right upper quadrant abdominal pain. She denied jaundice, choluria, or acholia. Laboratory investigation, including renal and liver function tests. revealed normal levels. Chest X-ray was normal. Abdominal ultrasonography demonstrated a hypoechoic nodule in the right hepatic lobe. CT scan showed hypodense areas in the same place and no retroperitoneal lymphadenopathy. Due to the inespecificity of the signs, symptoms and image findings, a diagnostic laparoscopy was performed, it was however inconclusive. Then, the patient was submitted to a laparotomy with ressection of the lesion. Histological examination revealed a tuberculoid granulomatous lesion with caseous necrosis. Postoperatively, the patient was placed on antituberculous chemotherapy with rifampin, isoniazid and pyrazinamide. Eight months later the patient is asymptomatic. | ||
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10.1590/S0100-69911999000300015 doi (DE-627)DOAJ04657672X (DE-599)DOAJ4acbb880f5ba4f7aa7167232d387f66f DE-627 ger DE-627 rakwb eng spa por RD1-811 Antonio Nocchi Kalil verfasserin aut Tuberculose hepática pseudotumoral Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Tuberculous involvement of the liver is usually a diffuse process, associated with miliary tuberculosis. However localized tuberculosis of the liver producing a macronodular tuberculoma or an abscess is rare. The authors present a case of pseudotumoral hepatic tuberculosis in a 34-year old woman. This patient presented a 2 month history of fever weight loss of 4Kg and right upper quadrant abdominal pain. She denied jaundice, choluria, or acholia. Laboratory investigation, including renal and liver function tests. revealed normal levels. Chest X-ray was normal. Abdominal ultrasonography demonstrated a hypoechoic nodule in the right hepatic lobe. CT scan showed hypodense areas in the same place and no retroperitoneal lymphadenopathy. Due to the inespecificity of the signs, symptoms and image findings, a diagnostic laparoscopy was performed, it was however inconclusive. Then, the patient was submitted to a laparotomy with ressection of the lesion. Histological examination revealed a tuberculoid granulomatous lesion with caseous necrosis. Postoperatively, the patient was placed on antituberculous chemotherapy with rifampin, isoniazid and pyrazinamide. Eight months later the patient is asymptomatic. Hepatic tuberculosis Pseudotumoral hepatic tuberculosis Tuberculoid granuloma Surgery Fernanda Alvarez Coelho verfasserin aut Gislaine Silveira Olm verfasserin aut In Revista do Colégio Brasileiro de Cirurgiões Colégio Brasileiro de Cirurgiões, 2005 (DE-627)508333725 (DE-600)2223714-8 18094546 nnns https://doi.org/10.1590/S0100-69911999000300015 kostenfrei https://doaj.org/article/4acbb880f5ba4f7aa7167232d387f66f kostenfrei http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69911999000300015&lng=en&tlng=en kostenfrei https://doaj.org/toc/1809-4546 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR |
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10.1590/S0100-69911999000300015 doi (DE-627)DOAJ04657672X (DE-599)DOAJ4acbb880f5ba4f7aa7167232d387f66f DE-627 ger DE-627 rakwb eng spa por RD1-811 Antonio Nocchi Kalil verfasserin aut Tuberculose hepática pseudotumoral Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Tuberculous involvement of the liver is usually a diffuse process, associated with miliary tuberculosis. However localized tuberculosis of the liver producing a macronodular tuberculoma or an abscess is rare. The authors present a case of pseudotumoral hepatic tuberculosis in a 34-year old woman. This patient presented a 2 month history of fever weight loss of 4Kg and right upper quadrant abdominal pain. She denied jaundice, choluria, or acholia. Laboratory investigation, including renal and liver function tests. revealed normal levels. Chest X-ray was normal. Abdominal ultrasonography demonstrated a hypoechoic nodule in the right hepatic lobe. CT scan showed hypodense areas in the same place and no retroperitoneal lymphadenopathy. Due to the inespecificity of the signs, symptoms and image findings, a diagnostic laparoscopy was performed, it was however inconclusive. Then, the patient was submitted to a laparotomy with ressection of the lesion. Histological examination revealed a tuberculoid granulomatous lesion with caseous necrosis. Postoperatively, the patient was placed on antituberculous chemotherapy with rifampin, isoniazid and pyrazinamide. Eight months later the patient is asymptomatic. Hepatic tuberculosis Pseudotumoral hepatic tuberculosis Tuberculoid granuloma Surgery Fernanda Alvarez Coelho verfasserin aut Gislaine Silveira Olm verfasserin aut In Revista do Colégio Brasileiro de Cirurgiões Colégio Brasileiro de Cirurgiões, 2005 (DE-627)508333725 (DE-600)2223714-8 18094546 nnns https://doi.org/10.1590/S0100-69911999000300015 kostenfrei https://doaj.org/article/4acbb880f5ba4f7aa7167232d387f66f kostenfrei http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69911999000300015&lng=en&tlng=en kostenfrei https://doaj.org/toc/1809-4546 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR |
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10.1590/S0100-69911999000300015 doi (DE-627)DOAJ04657672X (DE-599)DOAJ4acbb880f5ba4f7aa7167232d387f66f DE-627 ger DE-627 rakwb eng spa por RD1-811 Antonio Nocchi Kalil verfasserin aut Tuberculose hepática pseudotumoral Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Tuberculous involvement of the liver is usually a diffuse process, associated with miliary tuberculosis. However localized tuberculosis of the liver producing a macronodular tuberculoma or an abscess is rare. The authors present a case of pseudotumoral hepatic tuberculosis in a 34-year old woman. This patient presented a 2 month history of fever weight loss of 4Kg and right upper quadrant abdominal pain. She denied jaundice, choluria, or acholia. Laboratory investigation, including renal and liver function tests. revealed normal levels. Chest X-ray was normal. Abdominal ultrasonography demonstrated a hypoechoic nodule in the right hepatic lobe. CT scan showed hypodense areas in the same place and no retroperitoneal lymphadenopathy. Due to the inespecificity of the signs, symptoms and image findings, a diagnostic laparoscopy was performed, it was however inconclusive. Then, the patient was submitted to a laparotomy with ressection of the lesion. Histological examination revealed a tuberculoid granulomatous lesion with caseous necrosis. Postoperatively, the patient was placed on antituberculous chemotherapy with rifampin, isoniazid and pyrazinamide. Eight months later the patient is asymptomatic. Hepatic tuberculosis Pseudotumoral hepatic tuberculosis Tuberculoid granuloma Surgery Fernanda Alvarez Coelho verfasserin aut Gislaine Silveira Olm verfasserin aut In Revista do Colégio Brasileiro de Cirurgiões Colégio Brasileiro de Cirurgiões, 2005 (DE-627)508333725 (DE-600)2223714-8 18094546 nnns https://doi.org/10.1590/S0100-69911999000300015 kostenfrei https://doaj.org/article/4acbb880f5ba4f7aa7167232d387f66f kostenfrei http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69911999000300015&lng=en&tlng=en kostenfrei https://doaj.org/toc/1809-4546 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR |
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10.1590/S0100-69911999000300015 doi (DE-627)DOAJ04657672X (DE-599)DOAJ4acbb880f5ba4f7aa7167232d387f66f DE-627 ger DE-627 rakwb eng spa por RD1-811 Antonio Nocchi Kalil verfasserin aut Tuberculose hepática pseudotumoral Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Tuberculous involvement of the liver is usually a diffuse process, associated with miliary tuberculosis. However localized tuberculosis of the liver producing a macronodular tuberculoma or an abscess is rare. The authors present a case of pseudotumoral hepatic tuberculosis in a 34-year old woman. This patient presented a 2 month history of fever weight loss of 4Kg and right upper quadrant abdominal pain. She denied jaundice, choluria, or acholia. Laboratory investigation, including renal and liver function tests. revealed normal levels. Chest X-ray was normal. Abdominal ultrasonography demonstrated a hypoechoic nodule in the right hepatic lobe. CT scan showed hypodense areas in the same place and no retroperitoneal lymphadenopathy. Due to the inespecificity of the signs, symptoms and image findings, a diagnostic laparoscopy was performed, it was however inconclusive. Then, the patient was submitted to a laparotomy with ressection of the lesion. Histological examination revealed a tuberculoid granulomatous lesion with caseous necrosis. Postoperatively, the patient was placed on antituberculous chemotherapy with rifampin, isoniazid and pyrazinamide. Eight months later the patient is asymptomatic. Hepatic tuberculosis Pseudotumoral hepatic tuberculosis Tuberculoid granuloma Surgery Fernanda Alvarez Coelho verfasserin aut Gislaine Silveira Olm verfasserin aut In Revista do Colégio Brasileiro de Cirurgiões Colégio Brasileiro de Cirurgiões, 2005 (DE-627)508333725 (DE-600)2223714-8 18094546 nnns https://doi.org/10.1590/S0100-69911999000300015 kostenfrei https://doaj.org/article/4acbb880f5ba4f7aa7167232d387f66f kostenfrei http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69911999000300015&lng=en&tlng=en kostenfrei https://doaj.org/toc/1809-4546 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR |
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10.1590/S0100-69911999000300015 doi (DE-627)DOAJ04657672X (DE-599)DOAJ4acbb880f5ba4f7aa7167232d387f66f DE-627 ger DE-627 rakwb eng spa por RD1-811 Antonio Nocchi Kalil verfasserin aut Tuberculose hepática pseudotumoral Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Tuberculous involvement of the liver is usually a diffuse process, associated with miliary tuberculosis. However localized tuberculosis of the liver producing a macronodular tuberculoma or an abscess is rare. The authors present a case of pseudotumoral hepatic tuberculosis in a 34-year old woman. This patient presented a 2 month history of fever weight loss of 4Kg and right upper quadrant abdominal pain. She denied jaundice, choluria, or acholia. Laboratory investigation, including renal and liver function tests. revealed normal levels. Chest X-ray was normal. Abdominal ultrasonography demonstrated a hypoechoic nodule in the right hepatic lobe. CT scan showed hypodense areas in the same place and no retroperitoneal lymphadenopathy. Due to the inespecificity of the signs, symptoms and image findings, a diagnostic laparoscopy was performed, it was however inconclusive. Then, the patient was submitted to a laparotomy with ressection of the lesion. Histological examination revealed a tuberculoid granulomatous lesion with caseous necrosis. Postoperatively, the patient was placed on antituberculous chemotherapy with rifampin, isoniazid and pyrazinamide. Eight months later the patient is asymptomatic. Hepatic tuberculosis Pseudotumoral hepatic tuberculosis Tuberculoid granuloma Surgery Fernanda Alvarez Coelho verfasserin aut Gislaine Silveira Olm verfasserin aut In Revista do Colégio Brasileiro de Cirurgiões Colégio Brasileiro de Cirurgiões, 2005 (DE-627)508333725 (DE-600)2223714-8 18094546 nnns https://doi.org/10.1590/S0100-69911999000300015 kostenfrei https://doaj.org/article/4acbb880f5ba4f7aa7167232d387f66f kostenfrei http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69911999000300015&lng=en&tlng=en kostenfrei https://doaj.org/toc/1809-4546 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR |
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Tuberculous involvement of the liver is usually a diffuse process, associated with miliary tuberculosis. However localized tuberculosis of the liver producing a macronodular tuberculoma or an abscess is rare. The authors present a case of pseudotumoral hepatic tuberculosis in a 34-year old woman. This patient presented a 2 month history of fever weight loss of 4Kg and right upper quadrant abdominal pain. She denied jaundice, choluria, or acholia. Laboratory investigation, including renal and liver function tests. revealed normal levels. Chest X-ray was normal. Abdominal ultrasonography demonstrated a hypoechoic nodule in the right hepatic lobe. CT scan showed hypodense areas in the same place and no retroperitoneal lymphadenopathy. Due to the inespecificity of the signs, symptoms and image findings, a diagnostic laparoscopy was performed, it was however inconclusive. Then, the patient was submitted to a laparotomy with ressection of the lesion. Histological examination revealed a tuberculoid granulomatous lesion with caseous necrosis. Postoperatively, the patient was placed on antituberculous chemotherapy with rifampin, isoniazid and pyrazinamide. Eight months later the patient is asymptomatic. |
| abstractGer |
Tuberculous involvement of the liver is usually a diffuse process, associated with miliary tuberculosis. However localized tuberculosis of the liver producing a macronodular tuberculoma or an abscess is rare. The authors present a case of pseudotumoral hepatic tuberculosis in a 34-year old woman. This patient presented a 2 month history of fever weight loss of 4Kg and right upper quadrant abdominal pain. She denied jaundice, choluria, or acholia. Laboratory investigation, including renal and liver function tests. revealed normal levels. Chest X-ray was normal. Abdominal ultrasonography demonstrated a hypoechoic nodule in the right hepatic lobe. CT scan showed hypodense areas in the same place and no retroperitoneal lymphadenopathy. Due to the inespecificity of the signs, symptoms and image findings, a diagnostic laparoscopy was performed, it was however inconclusive. Then, the patient was submitted to a laparotomy with ressection of the lesion. Histological examination revealed a tuberculoid granulomatous lesion with caseous necrosis. Postoperatively, the patient was placed on antituberculous chemotherapy with rifampin, isoniazid and pyrazinamide. Eight months later the patient is asymptomatic. |
| abstract_unstemmed |
Tuberculous involvement of the liver is usually a diffuse process, associated with miliary tuberculosis. However localized tuberculosis of the liver producing a macronodular tuberculoma or an abscess is rare. The authors present a case of pseudotumoral hepatic tuberculosis in a 34-year old woman. This patient presented a 2 month history of fever weight loss of 4Kg and right upper quadrant abdominal pain. She denied jaundice, choluria, or acholia. Laboratory investigation, including renal and liver function tests. revealed normal levels. Chest X-ray was normal. Abdominal ultrasonography demonstrated a hypoechoic nodule in the right hepatic lobe. CT scan showed hypodense areas in the same place and no retroperitoneal lymphadenopathy. Due to the inespecificity of the signs, symptoms and image findings, a diagnostic laparoscopy was performed, it was however inconclusive. Then, the patient was submitted to a laparotomy with ressection of the lesion. Histological examination revealed a tuberculoid granulomatous lesion with caseous necrosis. Postoperatively, the patient was placed on antituberculous chemotherapy with rifampin, isoniazid and pyrazinamide. Eight months later the patient is asymptomatic. |
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Fernanda Alvarez Coelho Gislaine Silveira Olm |
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