Macronodular hepatic tuberculosis mimicking hydatid cyst: A case report

Isolated hepatic tuberculosis is called hepatic tuberculoma. It is a very rare granulomatous liver disease and constitutes less than 1% of all tuberculosis cases. Its clinical features are non-specific. Imaging-guided fine needle aspiration biopsy by ultrasonography or computed tomography (CT) is the best way to confirm the diagnosis. The patients are treated with a combination of medicine such as rifampicin, isoniazid, ethambutol, and pyrazinamide. Here, we have reported a case of 42-year old male patient with macronodular hepatic tuberculosis. His CT imaging was reported as type IV hydatid cyst and also had a positive indirect hemagglutination test.