Portal Hypertension Secondary to Isolated Liver Tuberculosis

Mona Mojtahedzadeh Resettlement Unit of United Nation High Commissioner for Refugees, Tehran, Islamic Republic of Iran; Medical Section of United Nation High Commissioner for Refugees, Tehran, Islamic Republic of Iran; Department of Gastrointestinal Disorders, Sorena Hospital, Tehran, Islamic Republic of Iran; Department of Radiology, Erfan Hospital, Tehran, Islamic Republic of Iran; Department of Pathology, Sorena Hospital, Tehran, Islamic Republic of Iran; Department of Pathology, Masih Daneshvari Hospital, Tehran, Islamic Republic of Iran; Institute of Human Virology, University of Maryland School of Medicine, Baltimore, Maryland

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Salman Otoukesh Resettlement Unit of United Nation High Commissioner for Refugees, Tehran, Islamic Republic of Iran; Medical Section of United Nation High Commissioner for Refugees, Tehran, Islamic Republic of Iran; Department of Gastrointestinal Disorders, Sorena Hospital, Tehran, Islamic Republic of Iran; Department of Radiology, Erfan Hospital, Tehran, Islamic Republic of Iran; Department of Pathology, Sorena Hospital, Tehran, Islamic Republic of Iran; Department of Pathology, Masih Daneshvari Hospital, Tehran, Islamic Republic of Iran; Institute of Human Virology, University of Maryland School of Medicine, Baltimore, Maryland

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Mohammad R. Shahsafi Resettlement Unit of United Nation High Commissioner for Refugees, Tehran, Islamic Republic of Iran; Medical Section of United Nation High Commissioner for Refugees, Tehran, Islamic Republic of Iran; Department of Gastrointestinal Disorders, Sorena Hospital, Tehran, Islamic Republic of Iran; Department of Radiology, Erfan Hospital, Tehran, Islamic Republic of Iran; Department of Pathology, Sorena Hospital, Tehran, Islamic Republic of Iran; Department of Pathology, Masih Daneshvari Hospital, Tehran, Islamic Republic of Iran; Institute of Human Virology, University of Maryland School of Medicine, Baltimore, Maryland

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Mohammad O. Tahbaz Resettlement Unit of United Nation High Commissioner for Refugees, Tehran, Islamic Republic of Iran; Medical Section of United Nation High Commissioner for Refugees, Tehran, Islamic Republic of Iran; Department of Gastrointestinal Disorders, Sorena Hospital, Tehran, Islamic Republic of Iran; Department of Radiology, Erfan Hospital, Tehran, Islamic Republic of Iran; Department of Pathology, Sorena Hospital, Tehran, Islamic Republic of Iran; Department of Pathology, Masih Daneshvari Hospital, Tehran, Islamic Republic of Iran; Institute of Human Virology, University of Maryland School of Medicine, Baltimore, Maryland

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Seyed K. Rahvari Resettlement Unit of United Nation High Commissioner for Refugees, Tehran, Islamic Republic of Iran; Medical Section of United Nation High Commissioner for Refugees, Tehran, Islamic Republic of Iran; Department of Gastrointestinal Disorders, Sorena Hospital, Tehran, Islamic Republic of Iran; Department of Radiology, Erfan Hospital, Tehran, Islamic Republic of Iran; Department of Pathology, Sorena Hospital, Tehran, Islamic Republic of Iran; Department of Pathology, Masih Daneshvari Hospital, Tehran, Islamic Republic of Iran; Institute of Human Virology, University of Maryland School of Medicine, Baltimore, Maryland

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Mihan Poorabdollah Resettlement Unit of United Nation High Commissioner for Refugees, Tehran, Islamic Republic of Iran; Medical Section of United Nation High Commissioner for Refugees, Tehran, Islamic Republic of Iran; Department of Gastrointestinal Disorders, Sorena Hospital, Tehran, Islamic Republic of Iran; Department of Radiology, Erfan Hospital, Tehran, Islamic Republic of Iran; Department of Pathology, Sorena Hospital, Tehran, Islamic Republic of Iran; Department of Pathology, Masih Daneshvari Hospital, Tehran, Islamic Republic of Iran; Institute of Human Virology, University of Maryland School of Medicine, Baltimore, Maryland

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Mohammad M. Sajadi Resettlement Unit of United Nation High Commissioner for Refugees, Tehran, Islamic Republic of Iran; Medical Section of United Nation High Commissioner for Refugees, Tehran, Islamic Republic of Iran; Department of Gastrointestinal Disorders, Sorena Hospital, Tehran, Islamic Republic of Iran; Department of Radiology, Erfan Hospital, Tehran, Islamic Republic of Iran; Department of Pathology, Sorena Hospital, Tehran, Islamic Republic of Iran; Department of Pathology, Masih Daneshvari Hospital, Tehran, Islamic Republic of Iran; Institute of Human Virology, University of Maryland School of Medicine, Baltimore, Maryland

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In this report, we present a case of isolated liver tuberculosis (TB) as a cause of non-cirrhotic portal hypertension leading to bleeding esophageal varices. Although TB has been known to cause portal hypertension in a variety of ways, this case was notable for the presence of periportal inflammation and granulomas, also seen in hepatic schistosomiasis. Herein, we discuss isolated liver TB and the differential diagnosis of non-cirrhotic portal hypertension. In endemic areas, TB should be considered in the differential diagnosis of non-cirrhotic portal hypertension.

Author Notes

*Address correspondence to Mohammad M. Sajadi, Institute of Human Virology, University of Maryland School of Medicine, 725 W. Lombard Street, N540, Baltimore, MD 21201. E-mail: msajadi@ihv.umaryland.edu

Authors' address: Mona Mojtahedzadeh and Salman Otoukesh, UNHCR, Tehran, Islamic Republic of Iran, E-mails: monamojtahedzadeh@gmail.com and Dr.s.otoukesh@gmail.com. Mohammad R. Shahsafi and Seyed K. Rahvari, Sorena Hospital, Tehran, Islamic Republic of Iran, E-mails: Dr.m.shahsafi@gmail.com and Dr.s.k.rahvari@gmail.com. Mohamad O. Tahbaz, Erfan Hospital, Tehran, Islamic Republic of Iran, E-mail: Dr.m.o.tahbaz@gmai.com. Mihan Poorabdollah, Masih Daneshvari Hospital, Darabad, Tehran, Islamic Republic of Iran, E-mail: Dr.mpoorabdollah@yahoo.com. Mohammad M. Sajadi, Institute of Human Virology, University of Maryland School of Medicine, Baltimore, MD, E-mail: msajadi@ihv.umaryland.edu.

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