Diagnosis of isolated hepatic tuberculosis in an immunocompetent individual: a case report and review of misdiagnosed cases

Hepatic tuberculosis is relatively rare in clinical practice and can easily be misdiagnosed as hepatocellular and cholangiocellular carcinoma, leading to unnecessary surgery. Postoperative pathological examination confirms the diagnosis of hepatic tuberculosis. A solitary tuberculous liver abscess creates a clinical barrier for treating physicians. We summarized cases that have been misdiagnosed as tumors over the past 20 years. When encountering suspicious patients clinically, it is important to inquire in-depth about the history of tuberculosis and to perform an ultrasound-guided liver lesion biopsy for pathological examination as early as possible to achieve early diagnosis and treatment.