Hepatobiliary tuberculosis: a notorious mimic to be considered within the differential diagnosis of cholangiocarcinoma

Chapman, N.; Dalton, Simon C; Hore, Todd

doi:10.1111/ans.16752

Cited by 3 publications

(1 citation statement)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…If large bile ducts are affected, wall thickening, and bile duct dilatation may be present. Intrahepatic strictures and bile duct dilatations indicate involvement of the intrahepatic bile ducts [6,[65][66][67][68]. Diffuse miliary calcification along the course of the bile ducts has been described as a typical feature of tubercular cholangitis [56].…”

Section: Bile Ductsmentioning

confidence: 99%

Comments and Illustrations of Ultrasound Findings in Extrapulmonary Tuberculosis Manifestations

Möller,

Löwe,

Jenssen

et al. 2024

Diagnostics

View full text Add to dashboard Cite

This review describes the appearance of extrapulmonary tuberculosis manifestations in comprehensive and multiparametric ultrasound imaging. The aim is to increase awareness of typical ultrasound findings regarding extrapulmonary tuberculosis, correlate those with pathological features, and facilitate differential diagnosis. Point of care ultrasound protocols can be used as a screening method in high-risk populations, although the negative findings do not exclude tuberculosis. Conversely, the diagnosis of extrapulmonary tuberculosis can never be made using ultrasound alone, as many ultrasound findings in extrapulmonary tuberculosis are non-specific. However, ultrasound-based sampling techniques can significantly facilitate the collection of samples for microbiological or molecular proof of tuberculosis, as well as facilitating the establishment of alternative diagnoses.

show abstract

Section: Bile Ductsmentioning

confidence: 99%

Comments and Illustrations of Ultrasound Findings in Extrapulmonary Tuberculosis Manifestations

Möller,

Löwe,

Jenssen

et al. 2024

Diagnostics

View full text Add to dashboard Cite

show abstract

Beyond cholangiocarcinoma: imaging features of mimicking pathologies in the biliary tract

Khasawneh,

O’Brien,

Czeyda-Pommersheim

et al. 2024

Abdom Radiol

View full text Add to dashboard Cite

Re: Hepatobiliary tuberculosis: a notorious mimic to be considered within the differential

Yagnik¹,

Garg

Patel³

et al. 2022

ANZ Journal of Surgery

View full text Add to dashboard Cite

We read with great interest an article entitled: hepatobiliary tuberculosis: a notorious mimic to be considered within the differential diagnosis of cholangiocarcinoma by Chapman NG et al. recently published in your esteemed journal. 1 It is indeed challenging to differentiate hepatobiliary tuberculosis from cholangiocarcinoma, particularly in areas where its incidence is low. We would like to congratulate the authors for reporting such an unusual case. We have a few comments regarding the article that you may find pertinent.The authors had used antituberculous drug therapy for 9 months. 1 We would like to mention that treatment for extrapulmonary tuberculosis, including peritoneal or hepatobiliary disease, is recommended for 6 months as there is no significant difference in outcomes between the 6-and 9-month regimens. 2 The treatment regimen for extrapulmonary TB consists of four drugs (Isoniazid, Rifampicin, Pyrazinamide and Ethambutol) for the first 2 months (intensive phase) followed by a two-drug regimen (Isoniazid, Rifampicin) for the next 4 months (maintenance phase). 3 Pyridoxine is added to this regimen to prevent peripheral neuropathy, an adverse effect of isoniazid.We would like to state that adenosine deaminase (ADA) activity in ascetic fluid suspicious of tuberculosis has a sensitivity and specificity of 100% and 97%, respectively. 4 ADA is a marker of tuberculosis and can be assayed in any fluid suspicious of tuberculosis such as pulmonary fluid, bile, cerebrospinal fluid and so forth.

show abstract

Hepatobiliary tuberculosis: a notorious mimic to be considered within the differential diagnosis of cholangiocarcinoma

Cited by 3 publications

References 9 publications

Comments and Illustrations of Ultrasound Findings in Extrapulmonary Tuberculosis Manifestations

Comments and Illustrations of Ultrasound Findings in Extrapulmonary Tuberculosis Manifestations

Beyond cholangiocarcinoma: imaging features of mimicking pathologies in the biliary tract

Re: Hepatobiliary tuberculosis: a notorious mimic to be considered within the differential

Contact Info

Product

Resources

About