Clinical analysis of 20 cases with hepatic tuberculosis

Objective To summarize the clinical features,diagnosis and treatment of hepatic tuberculosis.Methods The clinical data of 20 cases with hepatic tuberculosis were retrospectively analyzed.Results Among the 20 patients,loss of appetite and abdominal distension were found in 12 cases,fever in 10 cases,abdominal pain in 8 cases,night sweat and diarrhea in 4 cases,no abnormalities in 3 cases.Abdominal CT and ultrasonic examinations revealed focal liver space occupying lesions in 15 cases,focal calcifications in 2 cases,and hepatomegaly in 3 cases.15 cases of hepatic tuberculosis were determined by operative pathology,2 cases by local liver calcifications,and 3 cases by diagnostic therapy.Among the 20 patients,16 cases had extrahepatic tuberculosis.All the patients received anti-tuberculosis chemotherapy for over 1.5 years,and recovered well.Conclusions The clinical characteristics and photography of hepatic tuberculosis are variable,and have nonspecific manifestations.So the erroneous diagnostic rates are high.Now the diagnosis of hepatic tuberculosis is mainly by pathology and therapeutic trial.Systemic anti-tuberculous therapy and selective surgical treatment are the main effective treatments.