2Department of Pathology, Pt. B.D. Sharma University of Health Sciences, Haryana, India
Abstract
Tuberculosis (TB) is the leading cause of morbidity and mortality in developing countries. The involvement of liver the in the form of tubercular liver abscess is a very rare entity in immunocompetent or non-HIV infected individuals. Here we report a case of 32-year old previously healthy male who presented with easy fatigability, decreased appetite, abdominal pain and low-grade fever. Further examination and relevant
investigations revealed diagnosis of tubercular liver abscess with pleural effusion and inferior vena cava (IVC) thrombosis. The patient was treated with anti-tubercular drugs and anti-coagulants; he improved symptomatically and recovered without any further complications. Although tubercular liver abscesswith IVC thrombosis is a relatively unusual manifestation, timely diagnosis is essential to prevent devastating complications.