An Interesting Case of Non–Resolving Hepatogastric Fistula – An Unseen Cause
Published: February 1, 2016 | DOI: https://doi.org/10.7860/JCDR/2016/.7301
Vinay G Zanwar, Sunil V Pawar, Pravir A Gambhire, Samit S Jain, Pravin M Rathi
1. Senior Resident, Department of Gastroenterology, T.N. Medical College & B.Y.L Nair Hospital, Mumbai, Maharashtra, India.
2. Senior Resident, Department of Gastroenterology, T.N. Medical College & B.Y.L Nair Hospital, Mumbai, Maharashtra, India.
3. Senior Resident, Department of Gastroenterology, T.N. Medical College & B.Y.L Nair Hospital, Mumbai, Maharashtra, India.
4. Assistant Professor, Department of Gastroenterology, T.N. Medical College & B.Y.L Nair Hospital, Mumbai, Maharashtra, India.
5. Professor and Head, Department of Gastroenterology, T.N. Medical College & B.Y.L Nair Hospital, Mumbai, Maharashtra, India.
Correspondence
Dr. Vinay G Zanwar,
Senior Resident, Department of Gastroenterology, OPD Building, 7th Floor, T.N. Medical College & B.Y.L Nair Hospital,
Mumbai Central, Mumbai-400008, India.
E-mail: drvgzanwar@gmail.com
Hepatic tuberculosis presents one of the rare forms of extra-pulmonary tuberculosis. It is usually secondary to infection in the lung or the gut. Tuberculous liver abscess is the rarer manifestation even in endemic areas of Mycobacterium tuberculosis. Hepatogastric fistula secondary to tuberculous liver abscess has never been reported in literature. We herein report a case of a disseminated tuberculous liver abscess complicated by hepatogastric fistula, which posed a considerable diagnostic challenge. It was treated successfully with anti tubercular drugs. Liver abscess with atypical features and non responsive to antibiotics should raise the suspicious of tuberculosis or fungal infections.
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