A Case of Solitary Hepatic Tuberculoma

Ryo Morimura, Atsushi Matsumura, Hiromichi Ishii, Yoshihiro Ebihara, Hiroshi Tsuruta, Mamoru Masuyama, Shinsuke Watanabe and Hiroki Taniguchi*

Department of Surgery, Saiseikai Shiga Hospital
Department of Surgery, Kyoto Prefectural Yosanoumi Hospital*

Solitary hepatic tuberculoma is rare and difficult to diagnose, making it often diagnosed as hepatocellular carcinoma. Almost all cases have been resected due to such in accurate diagnose. We report a case of solitary tuberculoma. A 60-year-old man was found in abdominal ultrasonography and computed tomography (CT) to have a low-density mass in the right hepatic lobe. Magnetic resonance imaging (MRI) and angiography were incondusive. We undertook right hepatic lobectomy. Histopathologically, the tumor showed granuloma with caseous necrosis, so we diagnosed the tumor as solitary tuberculoma.

Key words
solitary tuberculoma of the liver, tuberculosis of the liver, liver tumor

Reprint requests
Ryo Morimura Department of Surgery, Saiseikai Shiga Hospital
2-4-1 Ohashi, Rittou, 520-3046 JAPAN

Accepted
March 30, 2005

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