Background : Hilar strictures caused by hepatobiliary tuberculosis (TB) is one of the rare manifestation of Mycobacterium tuberculosis infection. Hepatobiliary TB is more frequently encountered in Asian countries, and it has been observed that Filipinos have racial vulnerability to the tubercle bacilli. It is more common in males with a ratio of 2:1, with majority of the patients fall within the age range of 11-50 years old.

Methods : This was a case series of patients with symptoms of obstructive jaundice. Workup was done for these patients, and it was revealed that the etiology of obstructive jaundice was consistent with hepatobiliary tuberculosis, which was confirmed with the final histopathologic report.

Results : These cases were managed with extensive surgical procedures such as hepatectomy. Postoperatively, these patient’s symptoms and condition improved, and they were instructed to come back at the out-patient department for surveillance. Hepatobiliary TB is a rare extrapulmonary manifestation of tuberculosis. Diagnosis is often difficult preoperatively, however, it should be suspected in Asian patients presenting with obstructive jaundice especially those with previous history of tuberculosis.

Conclusions : Literature have shown that the vast majority of articles on hepatobiliary tuberculosis are mainly case reports. In addition, there is a lack of experience in the diagnosis and treatment of hepatobiliary tuberculosis. This case series highlighted several patients that were managed with extensive liver resection in Vicente Sotto Memorial Medical Center, and applicability and feasibility of extensive surgery in cases of benign hepatobiliary diseases.