Hepatosplenic tuberculosis simulating secondary malignant lesions with cholangitis.
BACKGROUND
Hepatic and/or splenic tuberculosis may simulate much pathology including malignancies, which can roam the diagnosis. Biopsy is necessary for diagnosis. The treatment allows healing and a cleaning of radiological lesions.


METHODS
We report a case of a 48-old-black Senegalese woman, immunocompetent, hospitalized for febrile jaundice and poor general condition. Imaging and hepatic biopsy showed hepatosplenic tuberculosis with cholangitis, simulating secondary malignancies lesions. The outcome was favorable under treatment.


CONCLUSIONS
In front of hepatic nodular lesions simulating malignancies in a tuberculosis endemic areas, achieving a liver biopsy helps rectify the diagnosis.
Departement of Internal Medicine and Hepatogastroenterology, Hôpital Principal de Dakar, 1, Avenue Nelson Mandela, BP 3006, Dakar, Sénégal. idiallo601@yahoo.fr.
Ibrahima
I
Diallo
Departement of Medical Imaging, Hôpital Principal de Dakar, Dakar, Sénégal.
Ababacar
A
Mbengue
Departement of Internal Medicine and Hepatogastroenterology, Hôpital Principal de Dakar, 1, Avenue Nelson Mandela, BP 3006, Dakar, Sénégal.
Sara B
SB
Gning
Departement of Internal Medicine and Hepatogastroenterology, Hôpital Principal de Dakar, 1, Avenue Nelson Mandela, BP 3006, Dakar, Sénégal.
Mouhamed A
MA
Amar
Departement of Internal Medicine and Hepatogastroenterology, Hôpital Principal de Dakar, 1, Avenue Nelson Mandela, BP 3006, Dakar, Sénégal.
Bineta
B
Ndiaye
Anatomopathology Unit, Hôpital Principal de Dakar, Dakar, Sénégal.
Yankhoba
Y
Diop
Departement of Internal Medicine and Hepatogastroenterology, Hôpital Principal de Dakar, 1, Avenue Nelson Mandela, BP 3006, Dakar, Sénégal.
Fatou
F
Fall
Departement of Internal Medicine and Hepatogastroenterology, Hôpital Principal de Dakar, 1, Avenue Nelson Mandela, BP 3006, Dakar, Sénégal.
Papa S
PS
MBaye
D002761:Cholangitis / Q000000981:diagnostic imaging*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008099:Liver / Q000000981:diagnostic imaging* / Q000473:pathology; D008113:Liver Neoplasms / Q000000981:diagnostic imaging* / Q000556:secondary; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D014386:Tuberculosis, Hepatic / Q000000981:diagnostic imaging* / Q000473:pathology; D014400:Tuberculosis, Splenic / Q000000981:diagnostic imaging* / Q000473:pathology
Acute hepatitis; Case report; Cholangitis; Hepatic and splenic nodular lesions; Tuberculosis