Kanhere, H.A.Trochsler, M.I.Pierides, J.Maddern, G.J.2015-09-092015-09-092013Journal of Surgical Case Reports, 2013; 2013(6):rjt038-1-rjt038-32042-88122042-8812http://hdl.handle.net/2440/94275Mycobacterial infections are rare in developed countries. Isolated involvement of the liver and biliary tree by mycobacterial infection is extremely rare. We report a case of a 45-year-old Caucasian female presenting with obstructive jaundice with a common bile duct stricture and multiple hypodense liver lesions raising suspicion of a metastatic cholangiocarcinoma. Percutaneous core biopsies of the liver lesions however suggested granulomatous process and histology at surgical excision confirmed this finding. Atypical mycobacteria (M. abcessus) sensitive to Amikacin were cultured from the surgical specimen proving the diagnosis. With the resurgence of tubercular and atypical mycobacterial infections in the developed world, it is important not to overlook these in differential diagnosis of various malignancies.en© The Author 2013. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc/3.0/), which permits non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.Journal article003002111410.1093/jscr/rjt038109643Trochsler, M.I. [0000-0001-6961-1430] [0000-0002-0650-9153]Maddern, G.J. [0000-0003-2064-181X]