Introduction: The incidence of extrapulmonary-tuberculosis in the Philippines is 1.9%. Patients of lower socio-economic status are particularly vulnerable due to community factors, poor health seeking behaviours and less access to specialized health centers. In addition the cost of diagnosing and treating hepatobiliary-tuberculosis is prohibitive. Complicating the management is the lack of protocol in diagnosing and treating this rare disease. This study aims to review cases of obstructive jaundice secondary to hepatobiliary-tuberculosis treated in Jose R. Reyes Memorial Medical Center. Methods: Charts of patients treated for obstructive jaundice secondary to hepatobiliary-tuberculosis from January to December 2019 were reviewed and analyzed. Results: There were 142 cases treated for obstructive jaundice from all etiologies. Among these, 10 cases were caused by hepatobiliary-tuberculosis(Table 1). Age ranged from 19 to 56 years old with 1:1 male/female ratio. Most common reason for consultation is abdominal pain progressing to jaundice which may last from several months to a year. Three patients had a history of previous pulmonary-tuberculosis treatment. Eight patients had histology consistent with tuberculosis(Figure 1). The other two were diagnosed based positive bile TB PCR and imaging respectively. Six patients had extrahepatic ductal obstruction while 4 had hilar/intrahepatic ductal involvement. Seven out of 10 patients were managed with biliary-enteric bypass. There was 1 morbidity, managed conservatively, and no mortality. Conclusion: Treatment of hepatobiliary-tuberculosis depends on the available expertise and equipment. Biliary-enteric bypass is an option for centers lacking ERCP or PTBD; however long-term follow up is needed.Table 1:Patient Summary N(10)Age19-53 years oldSex Ratio1:1SymptomsAbdominal Pain and Jaundice (n6); Jaundice (n3); Fistula (n1)Symptom Duration1 week to 4 yearsHistory of TuberculosisNone (n7); Yes (n3)DiagnosisHistopathology (n8); TB PCR (n1); Imaging (n1)Chest X-ray FindingsUnremarkable (n7); Tuberculosis (n2); Pleural Thickening (n1)Stricture LocationExtrahepatic (n6); Intrahepatic (n4)Operation DoneBiliary Enteric Bypass (n7); PTBD (n1); ERCP (n1); Tube Choledochostomy (n1)Mortality/MorbidityNone (n9); Anastomotic Leak (n1) Open table in a new tab