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Subcapsular tubercular liver abscess.

S K Mahajan1, K Kishore, S N Chugh

  • 1Department of Medicine, Pt BD Sharma, PGIMS, Rohtak.

The Journal of the Association of Physicians of India
|August 3, 2002
PubMed
Summary
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A rare case of subcapsular liver abscess due to tuberculosis in a young woman was successfully treated with anti-tubercular treatment (ATT). The patient conceived during ATT, continued treatment, and delivered a healthy baby, highlighting a unique clinical outcome.

Area of Science:

  • Hepatology
  • Infectious Diseases
  • Obstetrics & Gynecology

Background:

  • Subcapsular liver abscesses are uncommon, and tuberculous etiology is exceptionally rare.
  • Liver abscesses can present as abdominal masses, requiring thorough diagnostic evaluation.

Observation:

  • A young woman presented with a right upper abdominal lump, diagnosed as a subcapsular liver abscess via imaging (USG, CT).
  • Needle aspiration cytology confirmed the abscess to be tuberculous.

Findings:

  • The patient received a four-drug anti-tubercular treatment (ATT).
  • She conceived during ATT and continued a three-drug regimen throughout pregnancy.
  • A healthy baby was delivered, with both mother and child remaining healthy at three-month follow-up.

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Implications:

  • This case represents a potentially first-in-literature instance of conception during anti-tubercular treatment for a subcapsular liver abscess.
  • Management strategies for rare liver infections during pregnancy require careful consideration of treatment efficacy and fetal safety.