Zorbas K, Koutoulidis V, Foukas P, Arkadopoulos N
4th Department of Surgery, Attikon Hospital, Athens, Greece.
BMJ Case Rep. 2013 Dec 4;2013:bcr2013008775. doi: 10.1136/bcr-2013-008775.
Hepatic tuberculosis as a part of disseminated tuberculosis is seen in 50-80% of cases. Isolated hepatic tuberculosis is very uncommon even in countries with high prevalence of tuberculosis. It can occur as a primary case or due to reactivation of an old tubercular focus. We report a case of a 59-year-old Caucasian woman who presented with persistent right upper quadrant pain and a hepatic lesion on an abdominal CT. She had a history of pulmonary tuberculosis 15 years ago with localised lung tuberculosis treated with lobectomy and antituberculous drugs.
作为播散性结核病一部分的肝结核,在50%至80%的病例中可见。即使在结核病高流行国家,孤立性肝结核也非常罕见。它可作为原发性病例出现,或由于陈旧性结核病灶的重新激活而发生。我们报告一例59岁白种女性病例,该患者因持续性右上腹疼痛就诊,腹部CT显示肝脏有病变。她15年前有肺结核病史,当时局限性肺结核行肺叶切除术及抗结核药物治疗。