Chung RT, Podolsky DK, 2004. Cirrhosis and its complications. Kasper DL, Braunwald E, Fauci AS, Haucer SL, Longo DL, Jameson JL, eds. Harrison's Principles of Internal Medicine. Sixteenth edition. New York: McGraw Hill, 1862.
Hussain W, Mutimer D, Harrison R, Hubscher S, Neuberger J, 1995. Fulminant hepatic failure by tuberculosis. Gut 36: 792– 794.
Ghossein RA, Ross DG, Salomon RN, 1992. Rapid detection and species identification of mycobacteria in paraffin-embedded tissues by polymerase chain reaction. Diagn Mol Pathol 1: 185– 189.
Purl AS, Nayyar AK, Vij JC, 1994. Hepatic tuberculosis. Ind J Tub 41: 131– 134.
Kok KY, Yapp SK, 1999. Isolated hepatic tuberculosis: report of five cases and review of the literature. J Hepatobiliary Pancreat Surg 6: 195– 198.
Hersch C, 1964. Tuberculosis of the liver. A study of 200 cases. S Afr Med J 38: 906– 910.
Chong VH, Lim KS, 2010. Hepatobiliary tuberculosis. Singapore Med J 51: 744– 751.
Cleave EA, Gibson JR, Webb WM, 1954. Atypical tuberculosis of the liver with jaundice. Ann Intern Med 41: 251– 260.
Oliva A, Durate B, Jonasson O, 1990. The nodular form of local hepatic tuberculosis. A review. J Clin Gastroenterol 12: 166– 173.
Wagoner GP, Anton AT, Gall EA, 1953. Needle biopsy of the liver. Experience with hepatic granulomas. Gastroenterology 25: 487– 494.
Guckian JC, Perry JE, 1966. Granulomatous hepatitis: an analysis of 63 cases and review of the literature. Ann Intern Med 65: 1081– 1100.
DeBacker AI, Mortele KJ, De Keulenear BL, Vehaert L, Vanstraelen SM, Van Hee RH, 2005. Vascular involvement secondary to tuberculosis of the abdomen. Abdom Imaging 30: 714– 718.
Takeuchi H, Suzuki M, Unno M, Kakita T, Matsuno S, Nakura H, 2000. Spelenic vein occlusion secondary to tuberculosis lymphadenitis at the splenic hilum. Surg Today 30: 383– 385.
Yagmur Y, Girgin S, Gedik E, Buyukbayram H, 2009. A case report: isolated liver tuberculosis. Internet J Surg 19: 1.
Chang WC, Chu HC, Tsai SH, Huang GS, Cheng MF, Yu CY, 2009. An extraordinary presentation. Am J Med 122: 245– 247.
Inal M, Aksungur E, Akgül E, Demirbaş O, Oğuz M, Erkoçak E, 2000. Biliary tuberculosis mimicking cholangiocarcinoma: treatment with metallic biliary endoprosthesis. Am J Gastroenterol 95: 1069– 1071.
Okuda K, 2002. Non-cirrhotic portal hypertension versus idiopathic portal hypertension. J Gastroenterol Hepatol 17 (Suppl 3): S204– S213.
Chou YH, Chiou HJ, Tiu CM, Chiou SY, Lee SD, Hung GS, Wu SC, Kuo BI, Lee RC, Chiang JH, Chang T, Yu C, 2003. Duplex Doppler ultrasound of hepatic schistosomiasis japonica: a study of 47 patients. Am J Trop Med Hyg 68: 18– 23.
Massoud J, Arfaa F, Farahmandian I, Ardalan A, Mansoorian A, 1982. Progress in the national schistosomiasis control programme of Iran. Bull World Health Organ 60: 577– 582.
Niaz S, Tanveer A, Qureshi AW, 2010. Prevalence of humans schistosomiasis in different areas of Punjab Pakistan. Pak J Sci 62: : 160– 162.
Chitsulo L, Engels D, Montresor A, Savioli L, 2000. The global status of schistosomiasis and its control. Acta Trop 77: 41– 51.
Limquiaco J, Nolasco ER, Daez ML, Gloria VI, Domingo EO, Banez VP, Zano FM, Atienza MA, Sy PP, Labio E, Comia AC, De Lusong MA, Pilapil J, Feir S, Cabanayan E, Prodigalidad PA, 2006. Clinical predictors of bleeding from esophageal varices: a retrospective study. Phil J Gastroenterol 2: 103– 111.
Centers for Disease Control and Prevention, 2012. Infectious diseases related to travel. Available at: http://wwwnc.cdc.gov/travel/yellowbook/2012/chapter-3-infectious-diseases-related-to-travel/schistosomiasis.htm. Accessed September 20, 2011.
WHO, 2010. Global tuberculosis control: WHO report 2010. Geneva: World Health Organization. Available at: http://whqlibdoc.who.int/publications/2010/9789241564069_eng.pdf. Accessed September 20, 2011.
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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.
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.
Chung RT, Podolsky DK, 2004. Cirrhosis and its complications. Kasper DL, Braunwald E, Fauci AS, Haucer SL, Longo DL, Jameson JL, eds. Harrison's Principles of Internal Medicine. Sixteenth edition. New York: McGraw Hill, 1862.
Hussain W, Mutimer D, Harrison R, Hubscher S, Neuberger J, 1995. Fulminant hepatic failure by tuberculosis. Gut 36: 792– 794.
Ghossein RA, Ross DG, Salomon RN, 1992. Rapid detection and species identification of mycobacteria in paraffin-embedded tissues by polymerase chain reaction. Diagn Mol Pathol 1: 185– 189.
Purl AS, Nayyar AK, Vij JC, 1994. Hepatic tuberculosis. Ind J Tub 41: 131– 134.
Kok KY, Yapp SK, 1999. Isolated hepatic tuberculosis: report of five cases and review of the literature. J Hepatobiliary Pancreat Surg 6: 195– 198.
Hersch C, 1964. Tuberculosis of the liver. A study of 200 cases. S Afr Med J 38: 906– 910.
Chong VH, Lim KS, 2010. Hepatobiliary tuberculosis. Singapore Med J 51: 744– 751.
Cleave EA, Gibson JR, Webb WM, 1954. Atypical tuberculosis of the liver with jaundice. Ann Intern Med 41: 251– 260.
Oliva A, Durate B, Jonasson O, 1990. The nodular form of local hepatic tuberculosis. A review. J Clin Gastroenterol 12: 166– 173.
Wagoner GP, Anton AT, Gall EA, 1953. Needle biopsy of the liver. Experience with hepatic granulomas. Gastroenterology 25: 487– 494.
Guckian JC, Perry JE, 1966. Granulomatous hepatitis: an analysis of 63 cases and review of the literature. Ann Intern Med 65: 1081– 1100.
DeBacker AI, Mortele KJ, De Keulenear BL, Vehaert L, Vanstraelen SM, Van Hee RH, 2005. Vascular involvement secondary to tuberculosis of the abdomen. Abdom Imaging 30: 714– 718.
Takeuchi H, Suzuki M, Unno M, Kakita T, Matsuno S, Nakura H, 2000. Spelenic vein occlusion secondary to tuberculosis lymphadenitis at the splenic hilum. Surg Today 30: 383– 385.
Yagmur Y, Girgin S, Gedik E, Buyukbayram H, 2009. A case report: isolated liver tuberculosis. Internet J Surg 19: 1.
Chang WC, Chu HC, Tsai SH, Huang GS, Cheng MF, Yu CY, 2009. An extraordinary presentation. Am J Med 122: 245– 247.
Inal M, Aksungur E, Akgül E, Demirbaş O, Oğuz M, Erkoçak E, 2000. Biliary tuberculosis mimicking cholangiocarcinoma: treatment with metallic biliary endoprosthesis. Am J Gastroenterol 95: 1069– 1071.
Okuda K, 2002. Non-cirrhotic portal hypertension versus idiopathic portal hypertension. J Gastroenterol Hepatol 17 (Suppl 3): S204– S213.
Chou YH, Chiou HJ, Tiu CM, Chiou SY, Lee SD, Hung GS, Wu SC, Kuo BI, Lee RC, Chiang JH, Chang T, Yu C, 2003. Duplex Doppler ultrasound of hepatic schistosomiasis japonica: a study of 47 patients. Am J Trop Med Hyg 68: 18– 23.
Massoud J, Arfaa F, Farahmandian I, Ardalan A, Mansoorian A, 1982. Progress in the national schistosomiasis control programme of Iran. Bull World Health Organ 60: 577– 582.
Niaz S, Tanveer A, Qureshi AW, 2010. Prevalence of humans schistosomiasis in different areas of Punjab Pakistan. Pak J Sci 62: : 160– 162.
Chitsulo L, Engels D, Montresor A, Savioli L, 2000. The global status of schistosomiasis and its control. Acta Trop 77: 41– 51.
Limquiaco J, Nolasco ER, Daez ML, Gloria VI, Domingo EO, Banez VP, Zano FM, Atienza MA, Sy PP, Labio E, Comia AC, De Lusong MA, Pilapil J, Feir S, Cabanayan E, Prodigalidad PA, 2006. Clinical predictors of bleeding from esophageal varices: a retrospective study. Phil J Gastroenterol 2: 103– 111.
Centers for Disease Control and Prevention, 2012. Infectious diseases related to travel. Available at: http://wwwnc.cdc.gov/travel/yellowbook/2012/chapter-3-infectious-diseases-related-to-travel/schistosomiasis.htm. Accessed September 20, 2011.
WHO, 2010. Global tuberculosis control: WHO report 2010. Geneva: World Health Organization. Available at: http://whqlibdoc.who.int/publications/2010/9789241564069_eng.pdf. Accessed September 20, 2011.
Past two years | Past Year | Past 30 Days | |
---|---|---|---|
Abstract Views | 644 | 583 | 231 |
Full Text Views | 293 | 2 | 0 |
PDF Downloads | 79 | 2 | 0 |