Ghoda Manoj K
Rajasthan Hospital and Sterling Hospital, Ahmedabad.
Trop Gastroenterol. 2005 Oct-Dec;26(4):203-4.
We report three cases of hepatic tuberculosis with cholestatic jaundice. All three patients presented with cholestatic jaundice, anorexia, fever and weight loss. All had hepatomegaly. No biliary obstruction was detected. Two patients had evidence of extra hepatic tuberculosis but one had no such evidence. Diagnosis of hepatic tuberculosis was confirmed by liver biopsy. Little is known about tuberculous affecting the liver and the general belief is that it is a histopathological entity only, but these cases are a reminder of the unusual manifestation of a very common condition. All the cases recovered with anti-tuberculous treatment.
我们报告了三例伴有胆汁淤积性黄疸的肝结核病例。所有三名患者均表现为胆汁淤积性黄疸、厌食、发热和体重减轻。所有人都有肝肿大。未检测到胆道梗阻。两名患者有肝外结核的证据,但一名患者没有此类证据。肝活检确诊为肝结核。关于结核累及肝脏的情况知之甚少,一般认为它仅是一种组织病理学实体,但这些病例提醒人们注意这种非常常见疾病的不寻常表现。所有病例经抗结核治疗后均康复。