In the absence of active pulmonary disease, hepatic focal tuberculosis
is a rare form of tuberculosis. We present a case of pseudotumoral he
patic tuberculosis in a 44 year old man; diagnosis is difficult becaus
e of its radiological similarity with primary or metastatic hepatic ca
ncer. Percutaneus biopsy with US or CT guidance offers a good diagnost
ic alternative to laparoscopy. Histology examination revealed a tuberc
uloid granulomatous lesion. The disease has a good response to tubercu
lostatic treatment.