During the second half of the 20th century, as a result of improved nutrition, reduced crowding,
public health measures, and effective chemotherapy, a dramatic decrease in the incidence of
tuberculosis was seen in the world. But in recent years, increased incidence of tuberculosis has
been attributed to several causes, including AIDS epidemic, intravenous drug abuse and
increase in the number of immunocompromised. Hepatic tuberculosis is the most common
manifestation of upper abdominal parenchymatous organ tuberculosis and its incidence has
been increasing. Lack of familiarity with this condition was apparently responsible for the
diagnosis of hepatic tuberculosis being made at autopsy or surgery in the past. Since
tuberculosis remains a potentially curable disease, an awareness of its protean manifestations
is essential.