Hepatic Tuberculosis: A Diagnostic Challenge – Case Report and Literature Review

Hepatic tuberculosis is a rare but clinically important form of extrapulmonary tuberculosis that can mimic hepatic neoplastic or inflammatory lesions. Diagnosis often relies on a combination of clinical, imaging, and, most importantly, histological and microbiological findings. Management is based on appropriate antitubercular therapy, with particular attention to the risk of hepatotoxicity and coinfections (HBV, HCV). We report the case of a 51-year-old female patient, followed for renal failure and ampullary adenoma, admitted for acute pancreatitis with incidental discovery of multiple hepatic lesions on imaging. The initial workup suggested metastases, but liver biopsy confirmed hepatic tuberculosis. This case illustrates the diagnostic challenge of this rare condition.