title: Primary Liver Abscess with Anterior Abdominal Wall Extension Caused byMycobacteriumtuberculosisComplex.
abstract: Tubercular liver abscess is generally secondary to some other primary foci in the body, most notably pulmonary and gastrointestinal system. To find primary tubercular liver abscess is rare, with prevalence of 0.34% in patients with hepatic tuberculosis. Abscess tracking into abdominal wall from spinal and para spinal tuberculosis is known, however primary liver tuberculosis rupturing into anterior abdominal wall has been reported only twice in literature. We report a case of 43-year-old female with direct invasion of the anterior abdominal wall from an isolated tubercular parenchymal liver abscess, caused byMycobacterium tuberculosiscomplex, diagnosed primarily on smear for Acid Fast Bacilli (AFB), imaging and isolated by culture and BACTEC MGIT 960 KIT. We discuss here the diagnostic dilemma, management and outcome of primary tubercular liver parenchymal abscess with direct invasion into anterior abdominal wall.
authors.affiliation: Professor, Head of Unit and Trauma Incharge, Department of General Surgery, Topiwala National Medical College and Bai Yamunabai Laxman Nair Charitable Hospital , Mumbai, Maharashtra, India .
authors.forename: Jayashri Sanjay
authors.initials: JS
authors.lastname: Pandya
authors.affiliation: Resident, Department of General Surgery, Topiwala National Medical College and Bai Yamunabai Laxman Nair Charitable Hospital , Mumbai, Maharashtra, India .
authors.forename: Rahul Vilas
authors.initials: RV
authors.lastname: Kandekar
authors.affiliation: Resident, Department of General Surgery, Topiwala National Medical College and Bai Yamunabai Laxman Nair Charitable Hospital , Mumbai, Maharashtra, India .
authors.forename: Ajeet Ramamani
authors.initials: AR
authors.lastname: Tiwari
authors.affiliation: Resident, Department of General Surgery, Topiwala National Medical College and Bai Yamunabai Laxman Nair Charitable Hospital , Mumbai, Maharashtra, India .
authors.forename: Rahul
authors.initials: R
authors.lastname: Kadam
authors.affiliation: Assistant Professor, Department of General Surgery, Topiwala National Medical College and Bai Yamunabai Laxman Nair Charitable Hospital , Mumbai, Maharashtra, India .
authors.forename: Devbrata Radhikamohan
authors.initials: DR
authors.lastname: Adhikari
keywords: Abdominal wall abscess; Acid fast bacilli; BACTEC MGIT 960; Tubercular liver abscess