Background: Pulmonary tuberculosis (TB) is one of the common infections in developing countries of Asia and Africa, however, little is known about hepatic tuberculosis from these countries. Case report: We report a case of hepatic tuberculosis in a 24-year-old Bangladeshi man. He attended the physician for evaluation of hepatitis B surface antigen. He was asymptomatic with no notable hepatic and pulmonary complains. A diagnosis of hepatic TB was made after evaluation of liver histology that exhibited epitheloid granuloma with central caseating necrosis in the liver. The patient was successfully treated by antitubercular drugs. Discussion: Involvement of liver in TB may occur in a variety of forms. The commonest form is disseminated tuberculosis. A second variety represents diffuse involvement of liver with granuloma formation (granulomatous hepatitis). This is the first reporting of hepatic TB from Bangladesh, a country that harbors millions of people infected with TB and hepatitis viruses.