{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T18:29:32Z","timestamp":1760898572390,"version":"3.44.0"},"reference-count":14,"publisher":"BMJ","issue":"11","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2022,10,30]]},"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:p>Hepatobiliary tuberculosis is a rare condition causing obstructive jaundice either by enlarged lymph nodes around the bile ducts or involvement of biliary epithelium by the tuberculous process. Since a tissue diagnosis is not mandatory to proceed with the resection or initiation of a liver transplant protocol, benign lesions are occasionally misdiagnosed as hilar cholangiocarcinoma. Here, we present a case of hepatobiliary tuberculosis which presented as obstructive jaundice due to hilar obstruction. The mass causing the obstruction was then later found to be a pseudotumour, typical of tuberculosis. This diagnosis meant that extensive surgical resection as a protocol for cholangiocarcinoma was avoided. The patient recovered completely after a course of antitubercular therapy.<\/jats:p>","DOI":"10.1136\/bcr-2022-252511","type":"journal-article","created":{"date-parts":[[2022,11,4]],"date-time":"2022-11-04T11:12:36Z","timestamp":1667560356000},"page":"e252511","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Hilar tuberculosis versus Klatskin tumour: a diagnostic challenge"],"prefix":"10.1136","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9357-0448","authenticated-orcid":false,"given":"Jyotirmoy","family":"Biswas","sequence":"first","affiliation":[{"name":"General Medicine, College of Medicine and Sagore Dutta Hospital, Kolkata, West Bengal, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roger B","family":"Rathna","sequence":"additional","affiliation":[{"name":"Critical Care Medicine, St John's Medical College Hospital, Bangalore, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1794-2569","authenticated-orcid":false,"given":"Arkadeep","family":"Dhali","sequence":"additional","affiliation":[{"name":"GI Surgery, IPGME and R, Kolkata, West Bengal, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sukanta","family":"Ray","sequence":"additional","affiliation":[{"name":"GI Surgery, IPGME and R, Kolkata, West Bengal, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2022,11,4]]},"reference":[{"key":"2025082804462435000_15.11.e252511.1","first-page":"207","article-title":"Hepatobiliary tuberculosis","volume":"27","author":"Chaudhary","year":"2014","journal-title":"Ann Gastroenterol"},{"key":"2025082804462435000_15.11.e252511.2","first-page":"465","article-title":"Tuberculosis hepatitis: a clinical review of 96 cases","volume":"53","author":"Essop","year":"1984","journal-title":"Q J Med"},{"key":"2025082804462435000_15.11.e252511.3","first-page":"410","article-title":"Liver tuberculosis in Southern Taiwan: 15-years clinical experience","volume":"19","author":"Tai","year":"2008","journal-title":"\u5167\u79d1\u5b78\u8a8c"},{"key":"2025082804462435000_15.11.e252511.4","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1957.02980020030007"},{"key":"2025082804462435000_15.11.e252511.5","first-page":"857-63","article-title":"Tuberculosis of the liver. A study of 200 cases","volume":"38","author":"Hersch","year":"1964","journal-title":"S Afr Med J"},{"key":"2025082804462435000_15.11.e252511.6","first-page":"246","article-title":"Varied intestinal tuberculosis: an experience at Sandeman Hospital, Quetta","volume":"10","author":"Manzoor","year":"2000","journal-title":"JCPSP, Journal of the College of Physicians and Surgeons Pakistan"},{"key":"2025082804462435000_15.11.e252511.7","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2168.2001.01607.x"},{"key":"2025082804462435000_15.11.e252511.8","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-004-7034-z"},{"key":"2025082804462435000_15.11.e252511.9","doi-asserted-by":"publisher","DOI":"10.1093\/qjmed\/hcm125"},{"key":"2025082804462435000_15.11.e252511.10","first-page":"517","article-title":"A prospective study of hepatic tuberculosis in 41 black patients","volume":"63","author":"Maharaj","year":"1987","journal-title":"Q J Med"},{"key":"2025082804462435000_15.11.e252511.11","doi-asserted-by":"crossref","first-page":"1311","DOI":"10.1016\/j.radcr.2021.03.001","article-title":"Tuberculous common bile duct stricture mimicking a cholangiocarcinoma: a case report","volume":"16","author":"Adil","year":"2021","journal-title":"Radiol Case Rep"},{"key":"2025082804462435000_15.11.e252511.12","doi-asserted-by":"crossref","first-page":"64","DOI":"10.4103\/TROG_20103201_64","article-title":"Biliary tuberculosis masquerading as cholangiocarcinoma","volume":"32","author":"Dutta","year":"2011","journal-title":"Trop Gastroenterol"},{"key":"2025082804462435000_15.11.e252511.13","doi-asserted-by":"publisher","DOI":"10.4103\/0377-4929.41644"},{"key":"2025082804462435000_15.11.e252511.14","first-page":"1","article-title":"Treatment of tuberculosis","volume":"52","year":"2003","journal-title":"MMWR Recomm Rep"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2022-252511","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T11:46:34Z","timestamp":1756381594000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2022-252511"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11]]},"references-count":14,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2022,11,4]]},"published-print":{"date-parts":[[2022,11]]}},"alternative-id":["10.1136\/bcr-2022-252511"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2022-252511","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2022,11]]}}}