The liver Metastatic Adenocarcinoma of Colorectal Cancer With Synchronous Isolated Hepatic Tuberculosis

Tuberculosis is a global problem. According to the World Health Organization, more than 2 billion people are currently infected with tuberculosis bacilli and 1.7 million deaths attributed to TB in 2006. TB usually occurs in lung and other form of it like primary abdominal TB is not uncommon and 6-38% of patients with active pulmonary TB have abdominal TB. Hepatic tuberculosis is usually associated with military tuberculosis or active pulmonary and isolated liver tuberculosis (ILT) is a rare type of TB. Hereby we report a case of isolated hepatic tuberculosis. A 54 year old Iranian man has suffered from gastrointestinal symptoms, changes in bowel habits and rectal bleeding and abdominal pain for 3 month. Laboratory data revealed hematocrit 33%; hemoglobin 10.2 g/dL; white blood cells 9400/mm³ (71% neutrophils). Liver enzymes showed: total bilirubin of 9 mg/L with a direct bilirubin of 4.3 mg/L; SGOT and SGPT were 138 U/L and 192 U/L respectively (normal range for SGOT is 17-59 U/L and for SGPT is 21-72 U/L).