Ekanga Yannick Bangda, Ouahid Salma, Laroussi Rachid, Jioua Chaimae, Saouab Rachida, Faraj Chaymae, Ayee Stephane, El Ouali Ibtissam, Allaoui Mohamed, Adioui Tarik, Tamzaourte Mouna
Service de Gastroentérologie I, Hôpital Militaire, Université Mohammed V de Rabat, Rabat, Maroc.
Service d'Imagerie Médicale, Hôpital Militaire, Université Mohammed V de Rabat, Rabat, Maroc.
Pan Afr Med J. 2024 May 30;48:32. doi: 10.11604/pamj.2024.48.32.38062. eCollection 2024.
Tuberculosis (TB) is a common infectious disease that most often affects the lungs, but it can also affect any other organ with a wide range of clinical manifestations. There are three forms of hepatic involvement: diffuse hepatic tuberculosis combined with pulmonary tuberculosis; diffuse hepatic tuberculosis without pulmonary involvement; and nodular or focal/local hepatic tuberculosis, which is a very rare form and presents a diagnostic challenge. We here report the case of a young Moroccan man presenting with biliary colic that had been evolving for a month, associated with a forme fruste of tuberculous impregnation. CT scan and magnetic resonance imaging (MRI) of the liver showed nodular hepatic lesions. The diagnosis of focal hepatic tuberculosis was confirmed based on anatomopathological examination of biopsies obtained during laparoscopy. The patient received antitubercular treatment with good clinical-biological outcome.
结核病是一种常见的传染病，最常累及肺部，但也可累及任何其他器官，临床表现多种多样。肝脏受累有三种形式：弥漫性肝结核合并肺结核；无肺部受累的弥漫性肝结核；以及结节性或局灶性/局部肝结核，这是一种非常罕见的形式，诊断具有挑战性。我们在此报告一例年轻摩洛哥男性病例，该患者出现持续一个月的胆绞痛，并伴有结核浸润的顿挫型。肝脏的CT扫描和磁共振成像（MRI）显示肝脏有结节性病变。通过腹腔镜检查获取的活检组织的解剖病理学检查确诊为局灶性肝结核。患者接受抗结核治疗，临床生物学结果良好。
