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Updated: Mar 19, 2026

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
Published on: March 25, 2022
Hepatosplenic tuberculosis simulating secondary malignant lesions with cholangitis
Ibrahima Diallo1, Ababacar Mbengue2, Sara B Gning3
1Departement of Internal Medicine and Hepatogastroenterology, Hôpital Principal de Dakar, 1, Avenue Nelson Mandela, BP 3006, Dakar, Sénégal. idiallo601@yahoo.fr.
Background:
Hepatic and/or splenic tuberculosis may simulate much pathology including malignancies, which can roam the diagnosis. Biopsy is necessary for diagnosis. The treatment allows healing and a cleaning of radiological lesions.
Case Presentation:
We report a case of a 48-old-black Senegalese woman, immunocompetent, hospitalized for febrile jaundice and poor general condition. Imaging and hepatic biopsy showed hepatosplenic tuberculosis with cholangitis, simulating secondary malignancies lesions. The outcome was favorable under treatment.
Conclusion:
In front of hepatic nodular lesions simulating malignancies in a tuberculosis endemic areas, achieving a liver biopsy helps rectify the diagnosis.
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