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Macronodular hepatic tuberculosis associated with portal vein thrombosis and portal hypertension
S K Venkatesh1, L K A Tan, E P Y Siew
1Department of Diagnostic Radiology, National University of Singapore, Singapore.
Abstract:
Tuberculosis (TB) of the liver is usually associated with miliary spread. Macronodular TB of the liver is rare. A case of macronodular TB of the liver in a 31-year-old woman causing portal vein thrombosis and portal hypertension is presented. Ultrasound and CT appearances are described. There was coexistent ileo-caecal TB with extensive mesenteric and retroperitoneal lymphadenopathy. Macronodular TB should be considered in the differential diagnosis when a patient presents with multiple calcified masses in the liver with portal vein thrombosis and portal hypertension.
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