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Macronodular hepatic tuberculosis associated with portal vein thrombosis and portal hypertension.

Venkatesh SK, Tan LK, Siew EP, Putti TC

Department of Diagnostic Radiology, National University of Singapore, Singapore.

Tuberculosis (TB) of the liver is usually associated with miliary spread. Macronodular TB of the liver is rare. A case of macronodular TB of the liver in a 31-year-old woman causing portal vein thrombosis and portal hypertension is presented. Ultrasound and CT appearances are described. There was coexistent ileo-caecal TB with extensive mesenteric and retroperitoneal lymphadenopathy. Macronodular TB should be considered in the differential diagnosis when a patient presents with multiple calcified masses in the liver with portal vein thrombosis and portal hypertension.

Published 19 July 2005 in Australas Radiol, 49(4): 322-4.
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