Primary biliary cirrhosis (PBC) is a chronic, slowly progressive, cholestatic autoimmune disease of the liver, characterized by fatigue, pruritis, and presence of anti-mitochondrial antibody and affecting middle aged women . Hepatocellular carcinoma (HCC) is rarely associated with PBC and occurs in the late stage in the majority of cases . We describe here a case of PBC with HCC.
Tuberculosis (TB) of the hepatobiliary system is a rare cause of biliary stricture. Obstructive jaundice secondary to tubercular lymphadenitis is an uncommon presentation. Most cases of tubercular biliary hilar stricture are diagnosed postoperatively. Tuberculosis must be considered in the differential diagnosis of hilar biliary obstruction in patients from tuberculosis endemic areas. The authors report the first case of hilar stricture of tuberculosis which was diagnosed on chest X-ray, fine needle aspiration cytology from periportal lymph node, not on surgical pathology and improved on anti-tubercular treatment (ATT).