Hepatic hilar mass in an adolescent: a rare case of hepatobiliary tuberculosis

Liver segmentectomy surgery for delayed diagnosed hepatic TB, a case report from Syria

Introduction and importance: Mycobacterium Tuberculosis infection is still one of the most common causes of morbidity and mortality worldwide. TB usually infects the lungs, but it can affect other organs. Hepatic involvement usually occurs with disseminated disease whereas isolated hepatic involvement is extremely rare. Case presentation: We present a case of a female patient who had to undergo major hepatic surgery due to delayed diagnosis of hepatic TB. It suffered from recurrent abdominal abscesses and general symptoms for a period of time. clinical Discussion: Medical therapy is the treatment of choice and surgery is justified only in specific cases. Surgical intervention may range from less complicated procedures as local excision, abscess drainage or biliary drainage to more complicated and major surgeries such as liver segmentectomy and hemihepatectomy. conclusion: Although rare, physicians should suspect and diagnose early, to give the patient the best chance to benefit from medical therapy and avoid the need for surgical intervention.

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Although rare, hepatic TB still occurs with no specific symptoms or imaging study making it challenging.

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Surgical intervention may range from less complicated procedures to more complicated and major surgeries.

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The delayed decision to refer to a tertiary hospital for other options of treatment made her quality of life poor.