title: An Interesting Case of Non-Resolving Hepatogastric Fistula - An Unseen Cause.
abstract: 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.
authors.affiliation: Senior Resident, Department of Gastroenterology, T.N. Medical College & B.Y.L Nair Hospital , Mumbai, Maharashtra, India .
authors.forename: Vinay G
authors.initials: VG
authors.lastname: Zanwar
authors.affiliation: Senior Resident, Department of Gastroenterology, T.N. Medical College & B.Y.L Nair Hospital , Mumbai, Maharashtra, India .
authors.forename: Sunil V
authors.initials: SV
authors.lastname: Pawar
authors.affiliation: Senior Resident, Department of Gastroenterology, T.N. Medical College & B.Y.L Nair Hospital , Mumbai, Maharashtra, India .
authors.forename: Pravir A
authors.initials: PA
authors.lastname: Gambhire
authors.affiliation: Assistant Professor, Department of Gastroenterology, T.N. Medical College & B.Y.L Nair Hospital , Mumbai, Maharashtra, India .
authors.forename: Samit S
authors.initials: SS
authors.lastname: Jain
authors.affiliation: Professor and Head, Department of Gastroenterology, T.N. Medical College & B.Y.L Nair Hospital , Mumbai, Maharashtra, India .
authors.forename: Pravin M
authors.initials: PM
authors.lastname: Rathi
keywords: Disseminated tuberculosis; Extra-pulmonary; Liver abscess; Mycobacterium Tuberculosis