Isolated Tuberculosis of Gallbladder: A rare case report
Keywords:
Gallbladder tuberculosis, Granulomatous cholecystitis, calculous cholecystitis
Abstract
Gastrointestinal tuberculosis is commonly seen in the form of tuberculous peritonitis or involvement of the abdominal lymph nodes. Isolated gallbladder tuberculosis is very rare worldwide, with only 50 cases reported in the literature till 2003. We report a case of a 65 years old male patient who presented with clinical features of chronic calculous cholecystitis. Radiological investigations showed a necrotic mass within fundus with thickened wall of gallbladder along with a calculus suggesting possibility of carcinoma of gallbladder. Laparoscopic cholecystectomy was done and histopathological examination revealed tuberculosis of gallbladder. This case highlights the need to be aware of such unusual presentation of tuberculous in endemic areas and in patients with chronic GIT symptoms. DOI: 10.21276/apalm.1607References
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14. Jennings WC, Drabek GA, Miller KA. Significance of sludge and thickened wall in ultrasound evaluation of the gallbladder. Surgery, Gynaecology and Obstetrics 1992;174(5):394-8
2. S. Mukherjee, A.K. Ghosh and U. Bhattacharya. Tuberculosis of gall bladder - problem of diagnosis. Ind. J. Tub. 2001;48,151
3. S Cheddie, T Bisetty, B Singh. Isolated Tuberculosis of the Gallbladder. The Internet Journal of Surgery. 2012 Volume 28 Number 2
4. Kapoor S, Sewkani A, Naik S, Sharma S, Jain A, Varshney S. Myriad presentations of gall bladder tuberculosis. Indian J Gastroenterol 2006;25:103-4
5. Abu-Zidan FM, Zayat I. Gallbladder tuberculosis: case report and review of the literature. Hepatogastroenterology 1999;46:2804-6
6. Duan JG, Liu CL, Chen Y. One case of gall bladder tuberculosis. Clin J Radiol 1992;26:379-80
7. Pandya JS, Palep JH, Shinkre NB, Patil NN, Palan VA. Primary biliary tuberculosis - an unusual case. Indian J Surg 2003;65:440-1
8. Bergdahl L, Boquist L. Tuberculosis of the gallbladder. British Journal of Surgery 1972;59(4):289-92
9. Patel MR, Tharkore V, Rajput AR,et al. Chronic tuberculous cholecystitis. Tropical Doctor 1995;25(1):33
10. Piper C, Gamstatter G, Bettendorf U,et al. Gallbladder tuberculosis. Review and case report of a patient with advanced renal failure. Leber, Magen, Darm 1987;17(6);381-6
11. Misgar MS, Kariholu PL, Bhat DN, Fazili F, Yousuf M, Muhajid S. Tuberculosis of gallbladder. J Med Indian Assoc 1980;74;196-7
12. Tobias H, Sherman A. Hepatobiliary tuberculosis. In: Rom WN, Garay SM, eds. Tuberculosis. Boston: Little Brown, 1996:599-607
13. Tsakayannis DE, Kozakewich HPW, Lillehei CW. Acalculus cholecystitis in children. Journal of Paediatric Surgery 1996;31(1):127-31
14. Jennings WC, Drabek GA, Miller KA. Significance of sludge and thickened wall in ultrasound evaluation of the gallbladder. Surgery, Gynaecology and Obstetrics 1992;174(5):394-8
Published
2018-01-12
Issue
Section
Case Report
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