Korean J Gastrointest Endosc.  1991 Nov;11(2):323-327.

A Case of Hepatic Tuberculosis Diagnosed by Peritonescopy with Liver Biopsy

• Kim HS
• Chon CY
• Bae HM
• Kim YS
• Yang DG
• Chung JP
• Hong CS
• Kang JK
• Park IS
• Choi HJ
• Park CI

Abstract

Studies on hepatic tuberculosis are rare in Korea except several case repots. This is the first report on hepatic tuberculosis confirmed by the peritoneoscopic liver biopsy in Korea. A 43-year-old man was admitted due to high fever and cough for l0 days. On physical examination moist rale was audible on the both lower lung fields and hepatomegaly was noted. Chest X-ray revealed multiple fine granularity scattered uniformly throughout the both lung fields compatible with miliary pulmonary tuberculosis. On blood chemistry, SGOT, SGPT and alkaline phosphatase were elevated. Peritoneascopy revealed multiple yellowish-white small nodules evenly acattered on the entire surface of the both lobes of the liver and the needle biopsy of the liver showed chronic granulomatous inflammation with multinucleated giant cells and caseous necrosis consistent with hepatic tuberculosis. The patient was treated with antituberculous medications. Chest X-ray 6 months after treatment revealed completely healed miliary pulmonary tuberculosis and on blood chemistry 200 days after therapy SGOT, SGPT and alkaline phosphatase were within normal limits.

Keyword

Hepatic tuberculosis; Peritonescopy

MeSH Terms

Adult
Alanine Transaminase
Alkaline Phosphatase
Aspartate Aminotransferases
Biopsy*
Biopsy, Needle
Chemistry
Cough
Fever
Giant Cells
Hepatomegaly
Humans
Inflammation
Korea
Liver*
Lung
Necrosis
Physical Examination
Respiratory Sounds
Thorax
Tuberculosis, Hepatic*
Tuberculosis, Pulmonary
Alanine Transaminase
Alkaline Phosphatase
Aspartate Aminotransferases