Jing GX, He JY, Gu GQ. Laparoscopic partial hepatectomy for the treatment of hepatic tuberculosis: A case report. World J Clin Cases 2026; 14(12): 117790 [DOI: 10.12998/wjcc.v14.i12.117790]
Corresponding Author of This Article
Jing-Yu He, Department of Hepatobiliary Surgery, The Third Hospital of Mianyang, Sichuan Mental Health Center, The Affiliated Mianyang Hospital of Chongqing Medical University, No. 190 East Section of Jian Nan Road, Youxian District, Mianyang 621000, Sichuan Province, China. hsghjy1516@163.com
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Surgery
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Case Report
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Apr 26, 2026 (publication date) through Apr 15, 2026
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World Journal of Clinical Cases
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Jing GX, He JY, Gu GQ. Laparoscopic partial hepatectomy for the treatment of hepatic tuberculosis: A case report. World J Clin Cases 2026; 14(12): 117790 [DOI: 10.12998/wjcc.v14.i12.117790]
World J Clin Cases. Apr 26, 2026; 14(12): 117790 Published online Apr 26, 2026. doi: 10.12998/wjcc.v14.i12.117790
Laparoscopic partial hepatectomy for the treatment of hepatic tuberculosis: A case report
Guang-Xu Jing, Jing-Yu He, Guang-Qiang Gu
Guang-Xu Jing, Jing-Yu He, Guang-Qiang Gu, Department of Hepatobiliary Surgery, The Third Hospital of Mianyang, Sichuan Mental Health Center, The Affiliated Mianyang Hospital of Chongqing Medical University, Mianyang 621000, Sichuan Province, China
Co-first authors: Guang-Xu Jing and Guang-Qiang Gu.
Author contributions: Jing GX wrote the manuscript; He JY was the main surgeon and participated in drawing; Gu GQ was responsible for collecting references.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Corresponding author: Jing-Yu He, Department of Hepatobiliary Surgery, The Third Hospital of Mianyang, Sichuan Mental Health Center, The Affiliated Mianyang Hospital of Chongqing Medical University, No. 190 East Section of Jian Nan Road, Youxian District, Mianyang 621000, Sichuan Province, China. hsghjy1516@163.com
Received: December 18, 2025 Revised: January 19, 2026 Accepted: March 19, 2026 Published online: April 26, 2026 Processing time: 118 Days and 10.9 Hours
Abstract
BACKGROUND
Hepatic tuberculosis is rare, and is difficult to diagnose in the early stage of the disease. It is easily masked by the symptoms of pulmonary tuberculosis or other types of tuberculosis, and is often misdiagnosed as hepatitis, liver cancer or liver abscess. At present, there is a lack of relevant epidemiological statistics on the incidence of liver tuberculosis. However, the incidence of liver tuberculosis worldwide is approximately 3.5% of extrapulmonary tuberculosis.
CASE SUMMARY
A 52-year-old male patient underwent laparoscopic partial hepatectomy with release of intestinal adhesions due to hepatic tuberculosis. Prior to surgery, the patient had a past history of pulmonary tuberculosis, which was currently controlled by oral streptomycin and isoniazid. The patient had low fever and night sweats before surgery. Tuberculosis antibody was positive before surgery. Following surgery, the patient’s computed tomography reexamination showed that the liver mass had disappeared, and the symptoms of low fever and night sweats were significantly reduced. Postoperative pathological results showed that the patient had manifestations of tuberculosis and was eventually diagnosed with hepatic tuberculosis. Hepatic tuberculosis is a rare extrapulmonary tuberculosis, which is characterized by abdominal pain, abdominal mass, low-grade fever, night sweats, etc. Following surgical resection, the liver mass disappeared, and the patient was discharged on the seventh postoperative day. He required regular oral anti-tuberculosis drugs after discharge.
CONCLUSION
The specificity and sensitivity of laboratory tests for hepatic tuberculosis are low. Hepatic tuberculosis is difficult to distinguish from fatty liver, viral hepatitis and liver cancer.
Core Tip: We report a patient with hepatic tuberculosis who underwent laparoscopic partial hepatectomy. Following surgery, the patient’s symptoms of fever and abdominal pain were significantly improved.
