Tuberculosis of the liver is relatively rare. Due to the lack of specific symptoms and signs, the clinical misdiagnosis and mistreatment rate is high. Most cases of liver tuberculosis are part of systemic miliary tuberculosis, called secondary liver tuberculosis. Patients mainly show clinical manifestations caused by extrahepatic lung and intestinal tuberculosis, and generally do not show clinical symptoms of liver disease. After anti-tuberculosis treatment, intrahepatic tuberculosis can be cured, and it is difficult to make a diagnosis of liver tuberculosis clinically. Primary liver tuberculosis refers to tuberculosis involving the liver and becoming the cause of all its clinical manifestations, or when liver tuberculosis occurs, tuberculosis lesions in other parts have healed on their own or are very hidden and not found, and the liver is the only organ where tuberculosis is found. At this time, patients may have liver disease manifestations such as hepatomegaly, pain and tenderness in the liver area, jaundice, and may also have common systemic symptoms of tuberculosis such as fever, chills, night sweats, fatigue, weight loss, nausea, vomiting, abdominal distension, and diarrhea.