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Introduction <\/strong><\/span><\/p>\n\n

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Rare manifestation , usually secondary to lung or GI tuberculosis<\/p>\n\t<\/li>\n\t
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The term hepatobiliary TB refers to either isolated hepatic, biliary, or hepatobiliary involvement with other organ system involvement<\/p>\n\t<\/li>\n\t
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The manifestations of tuberculous liver involvement are nonspecific and poses significant diagnostic challenge<\/p>\n\t<\/li>\n<\/ul>\n"},"subContentId":"553e0f25-531c-4687-941d-f9f4776279a7","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":4.3544662309368185,"y":6.490734341252699,"width":92.5925925925926,"height":58.31533477321815,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Epidemiology <\/strong><\/span><\/p>\n\n
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Isolated hepatic involvement with TB is rare: relative hypoxia of liver parenchyma<\/p>\n\t<\/li>\n\t
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Tuberculous involvement of the liver, as a part of disseminated tuberculosis, is seen in up to 50\u201380 % of cases. <\/p>\n\t<\/li>\n\t
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Primary hepatobiliary TB is more uncommon, occurring in around 1 % of patients with TB<\/p>\n\t<\/li>\n\t
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In an Indian series, the majority of the patients were men and were younger than 40<\/p>\n\t<\/li>\n<\/ul>\n"},"subContentId":"09c49583-a77a-49d4-a086-1613da4e14b1","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":45.75021786492375,"y":80.07667386609072,"width":51.19825708061002,"height":17.278617710583152,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Morris E. Tuberculosis of the liver. Am Rev Tuberc. 1930;22:585\u201392.<\/span><\/span><\/span><\/span><\/span><\/span>
\nSaluja SS, Ray S, Pal S, et al. Hepatobiliary and pancreatic tuberculosis: a two decade experience. BMC Surg. 2007;7:10. Published 2007 Jun 24. doi:10.1186\/1471-2482-7-10<\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n"},"subContentId":"0e11db28-bbef-407d-87f7-2db427a76537","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":4.3544662309368185,"y":6.490734341252699,"width":91.50326797385621,"height":62.634989200863934,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Clinico-pathological types of Hepatic TB <\/strong><\/p>\n\n
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Granulomatous hepatitis<\/p>\n\t<\/li>\n\t
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Miliary TB<\/p>\n\t<\/li>\n\t
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Nodular: Atypical heterogeneous abscess\/ solid pseudo-tumour<\/p>\n\t<\/li>\n\t
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Ductal: Focal\/diffuse lesions affecting ducts<\/p>\n\t<\/li>\n\t
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Nodal: Nodal mass\/ obstruction at the porta<\/p>\n\t<\/li>\n<\/ul>\n"},"subContentId":"940c6138-305f-44b1-b5a2-58f9f330d895","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":49.01960784313726,"y":84.88120950323975,"width":49.01960784313726,"height":15.11879049676026,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Evans, R.P.T., Mourad, M.M., Dvorkin, L. et al. Curr Infect Dis Rep (2016) 18: 45. https:\/\/doi.org\/10.1007\/s11908-016-0546-5<\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n"},"subContentId":"24b9c68a-d096-40e2-8cd4-8982828fe250","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":4.3544662309368185,"y":6.490734341252699,"width":91.50326797385621,"height":66.95464362850971,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Clinical presentation of Hepatobiliary TB<\/strong><\/p>\n\n
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Nonspecific and may resemble other diseases such as malignancies and infections<\/p>\n\t<\/li>\n\t
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Abdominal pain and jaundice are the most common symptoms <\/p>\n\t<\/li>\n\t
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Non-specific systemic symptoms like fever, weight loss and anorexia are common<\/p>\n\t<\/li>\n\t
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Rarely patients may present with upper GI bleed or malena (secondary to hemobilia) or palpable gallbladder mass<\/p>\n\t<\/li>\n\t
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Patients with miliary TB may have predominant respiratory symptoms<\/p>\n\t<\/li>\n\t
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Symptom duration may range from 2 weeks to 2 years<\/p>\n\t<\/li>\n<\/ul>\n\n
<\/p>\n"},"subContentId":"aaaaebc7-dfd8-4e3e-b395-b6f92fa7d31d","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":71.89542483660131,"y":88.55291576673866,"width":26.143790849673202,"height":8.639308855291576,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Saluja SS et al. BMC Surg. 2007;7:10. <\/span><\/span><\/span><\/span><\/span> <\/span><\/p>\n"},"subContentId":"3f083650-749e-42f8-9812-13911b393c17","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}}],"keywordListEnabled":true,"globalBackgroundSelector":{},"keywordListAlwaysShow":false,"keywordListAutoHide":false,"keywordListOpacity":90},"override":{"activeSurface":false,"hideSummarySlide":false,"summarySlideSolutionButton":true,"summarySlideRetryButton":true,"enablePrintButton":false,"social":{"showFacebookShare":false,"facebookShare":{"url":"@currentpageurl","quote":"I scored @score out of @maxScore on a task at @currentpageurl."},"showTwitterShare":false,"twitterShare":{"statement":"I scored @score out of @maxScore on a task at @currentpageurl.","url":"@currentpageurl","hashtags":"h5p, course"},"showGoogleShare":false,"googleShareUrl":"@currentpageurl"}},"l10n":{"slide":"Slide","score":"Score","yourScore":"Your Score","maxScore":"Max Score","total":"Total","totalScore":"Total Score","showSolutions":"Show solutions","retry":"Retry","exportAnswers":"Export text","hideKeywords":"Hide sidebar navigation menu","showKeywords":"Show sidebar navigation menu","fullscreen":"Fullscreen","exitFullscreen":"Exit fullscreen","prevSlide":"Previous slide","nextSlide":"Next slide","currentSlide":"Current slide","lastSlide":"Last slide","solutionModeTitle":"Exit solution mode","solutionModeText":"Solution Mode","summaryMultipleTaskText":"Multiple tasks","scoreMessage":"You achieved:","shareFacebook":"Share on Facebook","shareTwitter":"Share on Twitter","shareGoogle":"Share on Google+","summary":"Summary","solutionsButtonTitle":"Show comments","printTitle":"Print","printIngress":"How would you like to print this presentation?","printAllSlides":"Print all slides","printCurrentSlide":"Print current slide","noTitle":"No title","accessibilitySlideNavigationExplanation":"Use left and right arrow to change slide in that direction whenever canvas is selected.","accessibilityCanvasLabel":"Presentation canvas. Use left and right arrow to move between slides.","accessibilityProgressBarLabel":"Choose slide to display","containsNotCompleted":"@slideName contains not completed interaction","containsCompleted":"@slideName contains completed interaction","slideCount":"Slide @index of @total","containsOnlyCorrect":"@slideName only has correct answers","containsIncorrectAnswers":"@slideName has incorrect answers","shareResult":"Share Result","accessibilityTotalScore":"You got @score of @maxScore points in total","accessibilityEnteredFullscreen":"Entered fullscreen","accessibilityExitedFullscreen":"Exited fullscreen","confirmDialogHeader":"Submit your answers","confirmDialogText":"This will submit your results, do you want to continue?","confirmDialogConfirmText":"Submit and see results","slideshowNavigationLabel":"Slideshow navigation"}}

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