Full Text (PDF)
New Indian Journal of Surgery 16(2):p 75-78, April - June 2025. | DOI: 10.21088/nijs.0976.4747.16225.6
Case Report
Uncommon Occurrence of Primary Tubercular Liver Abscess in an Immunocompetent Patient: Case Report
Debajanee Rout,, Sibaprashad Pattanayak, Ambuja Satpathy, Soumya Ranjan Jena
Author Information
Licence:
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
New Indian Journal of Surgery 16(2):p 75-78, April - June 2025. | DOI: 10.21088/nijs.0976.4747.16225.6
How Cite This Article:
Rout D, Pattanayak S, et al. Uncommon Occurrence of Primary Tubercular Liver Abscess in an Immunocompetent Patient: Case Report. New Indian J Surg. 2025;16(2):75-78.Timeline
Received : April 26, 2025
Accepted : June 06, 2025
Published : June 30, 2025
Abstract
Introduction: Tubercular liver abscess is an extremely rare clinical entity, particularly when it presents in isolation without any pulmonary or gastrointestinal involvement and in the absence of immunocompromising conditions. Tuberculosis affecting the liver is observed in approximately 10 to 15 percent of all extrapulmonary tuberculosis cases, while extrapulmonary tuberculosis itself constitutes about 10 to 20 percent of the global tuberculosis burden. Among those with hepatic involvement, tubercular liver abscess represents only a small fraction approximately 0.34 percent making isolated cases in immunocompetent individuals especially uncommon. Case report: We report the case of a 42-year-old male farmer from Ganjam district who presented with right upper abdominal pain, vomiting, and intermittent fever lasting 20 days. Clinical and radiological investigations revealed an isolated abscess in the right lobe of the liver. There was no history of prior tuberculosis infection or known contact with tuberculosis patients, and the patient had no comorbid conditions. Microbiological analysis of aspirated pus confirmed the presence of Mycobacterium tuberculosis. The patient was treated successfully with percutaneous drainage and systemic antitubercular therapy.
References
- 1. Agarwala R. Xpert MTB/RIF for diagnosis of tubercular liver abscess: A case series. Infez Med. 2020; 28: 420-424.
- 2. Kumar A., Kumar A., Kumar A., et al. An immunocompetent adult male presented with a liver abscess caused by Mycobacterium tuberculosis: A case report from India. Case Rep Infect Dis. 2023; 2023: 9049315. doi:10.1155/2023/9049315
- 3. Devi S., Mishra P., Sethy M. Isolated tubercular liver abscess in a non-immunodeficient patient: A rare case report. Cureus. 2019; 11: e5677.
- 4. Meena M., Dixit R., Meena LP. Primary/local hepatic tuberculosis without dissemination. BMJ Case Rep. 2015 Jan 27; 2015.
- 5. M.N. Akcay, K.Y. Polat, D. Oren, G. Ozturk Primary tuberculous liver abscess. Acase report and review of literature, Int J Clin Pract, 58 (2004), pp. 625-627
- 6. Hayashi M., Yamawaki I., Okajima K., Tomimatsu M., Ohkawa S. Tuberculous liver abscess not associated with lung involvement. Intern Med. 2004; 43(6): 521–3.
- 7. Eshiwe C., Shahi F., Gordon N., Lillie P. Rare and unusual case of hepatic and disseminated tuberculosis in an immunocompetent patient. BMJ Case Rep. 2019; 12: e229384.
- 8. Brookes M.J., Field M., Dawkins D.M., Gearty J., Wilson P. Massive primary hepatic tuberculoma mimicking hepatocellular carcinoma in an immunocompetent host. Med Gen Med. 2006; 8:11.
Data Sharing Statement
There are no additional data available. All raw data and code are available upon request.
Funding
This research received no funding.
Author Contributions
All authors contributed significantly to the work and approve its publication.
Ethics Declaration
This article does not involve any human or animal subjects, and therefore does not require ethics approval.
Acknowledgements
We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.
Conflicts of Interest
No conflicts of interest.
About this article
Cite this article
Rout D, Pattanayak S, et al. Uncommon Occurrence of Primary Tubercular Liver Abscess in an Immunocompetent Patient: Case Report. New Indian J Surg. 2025;16(2):75-78.
Licence:
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
| Received | Accepted | Published |
|---|---|---|
| April 26, 2025 | June 06, 2025 | June 30, 2025 |
DOI: 10.21088/nijs.0976.4747.16225.6
Keywords
Primary hepatic tuberculosisTubercular liver abscessImmunocompetent hostPercutaneous abscess drainageAntitubercular therapySearch for Similar Articles
Similar Articles
- Role of Autologous Platelet-Rich Plasma Spray in an Adult with Electrical Burns
- Laparoscopic Management of Large Right Adrenal Teratoma Adherent to Inferior Ven...
- Application of Haemoglobin Spray in Wound Healing in Scald Burns
- Robotic Inguinal Hernia Repair: A Review of Meta-Analyses Comparing Operative Ou...
- A Comparative Study Between Laser Hemorrhoidoplasty and Open Hemorrhoidectomy
Article Level Metrics
Last UpdatedThursday 30 July 2026, 11:21:35 (IST)
3384
Accesses
11
295
00
Citations
NA
NA
NA
Download citation
Article Keywords
Keyword Highlighting
Highlight selected keywords in the article text.
Timeline
| Received | April 26, 2025 |
| Accepted | June 06, 2025 |
| Published | June 30, 2025 |
licence
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
