Diagnostic Dilemma of Hepatic Tuberculosis in Presence of Portal Hypertension: A Rare and Relevant Case

F. Aharbil; S. Boudda; A. Ait Errami; Z. Samlani; S. Oubaha; Khadija Krati

doi:10.23958/ijirms/vol07-i11/1511

Open Access Publication ISSN: 2455-8737 |

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Case Report | Open Access

Vol. 7 No. 11 (2022) | Page No.: 676 - 678 | https://doi.org/10.23958/ijirms/vol07-i11/1511

Diagnostic Dilemma of Hepatic Tuberculosis in Presence of Portal Hypertension: A Rare and Relevant Case

F. Aharbil⁺⁻
S. Boudda⁺⁻
A. Ait Errami⁺⁻
Z. Samlani⁺⁻
S. Oubaha⁺⁻
K. Krati⁺⁻

Department of Hepatology & Gastroenterology, University Hospital Med VI, Marrakech, Morocco

Department of Hepatology & Gastroenterology, University Hospital Med VI, Marrakech, Morocco.

Department of Hepatology & Gastroenterology, University Hospital Med VI, Marrakech, Morocco

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Published: 2022-11-05

Abstract

Tuberculosis (TB) is and remains a growing public health problem worldwide, especially in developing countries. Hepatic tuberculosis is an extremely rare form of extra pulmonary TB. Our case report describes hepatic tuberculosis revealed by an atypical sign: portal hypertension (PHT) in a Moroccan immuno competent young man. Case Report: A 28-year-old male with no medical history, was admitted with an abundant ascites, and a chronic right hypochondrium pain. The biology data found a low protein concentration ascitic fluid with signs of portal hypertension in the abdominal ultra sound (US). An abdominal CT scan demonstrated a multi nodular liver with profound multiple lymph nodes some with a necrotic center. The diagnosis of multifocal tuberculosis was clinched on by the positivity of Xpert MTB/RIF assay on sputum and on hepatic needle biopsy. Conclusion: Portal hypertension secondary to hepatic tuberculosis is exceptional and often causes a diagnostic dilemma. It should be considered in the differential diagnosis of non-cirrhotic portal hypertension especially in endemic areas.

Keywords: portal hypertension, hepatic tuberculosis, immuno competent, Xpert MTB/RIF, Morocco

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How to Cite

Aharbil, F., Boudda, S., Errami, A. A., Samlani, Z., Oubaha, S., & Krati, K. (2022). Diagnostic Dilemma of Hepatic Tuberculosis in Presence of Portal Hypertension: A Rare and Relevant Case. International Journal of Innovative Research in Medical Science, 7(11), 676–678. https://doi.org/10.23958/ijirms/vol07-i11/1511

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Copyright © 2022 F. Aharbil S. Boudda A. Ait Errami Z. Samlani S. Oubaha K. Krati this is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

This work is licensed under a Creative Commons Attribution 4.0 International License.