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Updated: Feb 8, 2026

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
Published on: March 25, 2022
Tubercular biliary hilar stricture: A rare case report.
Kumar Shwetanshu Narayan1, Manoj Kumar1, Shivdutt Padhi1
1Senior Resident, Deptt. of Gastroenterology, Sawai Man Singh (S.M.S.) Medical College and Hospital Jaipur Rajasthan, India.
This study details a rare case of disseminated tuberculosis affecting both the liver and biliary system, leading to cholestatic jaundice in an otherwise healthy individual. It highlights an unusual presentation of hepatobiliary tuberculosis.
Area of Science:
- Hepatology
- Infectious Diseases
- Gastroenterology
Background:
- Hepatobiliary tuberculosis is a rare manifestation of tuberculosis, accounting for less than 1% of all tuberculous infections.
- Localized hepatic tuberculosis, with or without bile duct involvement, presents unique diagnostic challenges.
Observation:
- A case of cholestatic jaundice is presented in an immunocompetent male.
- The patient exhibited simultaneous involvement of the liver and biliary system.
Findings:
- The presentation was indicative of disseminated tuberculosis.
- This case represents an uncommon occurrence of hepatobiliary tuberculosis.
Implications:
- This case underscores the importance of considering tuberculosis in the differential diagnosis of cholestatic jaundice, even in immunocompetent patients.
- Further research into the diagnostic and therapeutic strategies for localized hepatobiliary tuberculosis is warranted.
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