Primary hepatic tuberculosis masquerading as gallbladder cancer

Primary hepatic tuberculosis (TB) is rare, and even in endemic regions primary hepatic TB consists of 0.5% of all forms of primary TB. Hepatic tuberculomas and biliary stricture formation can rarely mimic the radiological appearance of neoplasm. Gall-bladder cancer is endemic in the Gangetic belt of India. Here, we described a case of primary hepatic TB which was initially diagnosed as gall-bladder cancer in the presence of gall-bladder wall thickening and hepatic mass lesions. Diagnosis of hepatic TB was finally confirmed after fine needle aspiration cytology from hepatic mass which showed presence of necrotising granulomatous inflammation.