Hepatic Tuberculous Abscess with Extension into Anterior Abdominal WallCorrespondence Address :
Dr. Sanjay M Khaladkar,
Flat No. 5, Plot 8, Tejas Bldg, Sahawas Society, Karvenagar, Pimpri, Pune, Maharashtra, India.
Hepatic Tuberculosis (TB) is rare form of extrapulmonary TB. Prevalence of primary tubercular abscess is 0.34% in hepatic TB. Isolated hepatic TB is rare with few reported sporadic cases. Primary hepatic tubercular abscesses rupturing into anterior abdominal wall is rare. The skeletal muscles are uncommonly affected by TB and are less preferred site for multiplication and survival of Mycobacterium tuberculosis due to abundant blood supply, lack of lymphatic and reticulo-endothelial tissue in muscles and high lactic acid content. We report a case of 36-year-old patient who presented with lump in anterior abdominal wall in right hypochondriac region since one month. On ultrasound and CT study, he was detected to have hepatic abscess in right lobe with extension to overlying anterior abdominal wall. TB-PCR showed Mycobacterium complex. Genprobe test was positive for Mycobacterium tuberculosis complex. Patient improved after Antikoch’s Treatment (AKT) with regression in hepatic and abdominal wall abscesses.
Extra-pulmonary tuberculosis, Glisson’s capsule, Macronodular tuberculosis, Sinus tract, Sub-capsular
Sanjay M Khaladkar, Radhika K Jaipuria, Ronak Savani, Shibani Saluja. HEPATIC TUBERCULOUS ABSCESS WITH EXTENSION INTO ANTERIOR ABDOMINAL WALL. Journal of Clinical and Diagnostic Research [serial online] 2019 September [cited: 2019 Sep 16 ]; 13:TD01-TD03. Available from
Date of Submission: Jun 29, 2019
Date of Peer Review: Jul 30, 2019
Date of Acceptance: Aug 14, 2019
Date of Publishing: Sep 01, 2019
FINANCIAL OR OTHER COMPETING INTERESTS: None.
Patient permission was obtained for publication of this work.
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