Rare presentation of gall bladder tuberculosis in a non immuno-compromised patient

  • Pawan Kumar | pawansurgeon@gmail.com Department of Surgery, Lady Hardinge Medical College & Dr RMLH, New Delhi, India.
  • Priya Hazrah Department of Surgery, Lady Hardinge Medical College & Dr RMLH, New Delhi, India.
  • Anil Taneja Department of Radiology, Lady Hardinge Medical College & Dr RMLH, New Delhi, India.
  • Arvind Ahuja Department of Pathology, Lady Hardinge Medical College & Dr RMLH, New Delhi, India.
  • Deborshi Sharma Department of Surgery, Lady Hardinge Medical College & Dr RMLH, New Delhi, India.

Abstract

The gall bladder is least common intraabdominal organ to be involved by tuberculosis. It is either part of systemic miliary tuberculosis or abdominal tuberculosis. Isolated gall bladder tuberculosis is even rarer, can presents either as calculus or acalculus cholecystitis. Gall bladder tuberculosis presenting as a localized perforation with a sinus formation into anterior abdominal wall is unreported complication in a non immuno-compromised person. A 48-year old female presented with a gradually increasing swelling in right hypochondrium. Abdominal ultrasound showed superficial collection over right hypochondrium with intraperitoneal extension. Computed tomography showed localized gall bladder perforation with extension to the abdominal wall. Patient underwent emergency exploration and cholecystectomy with excision of sinus tract and drainage of abdominal wall abscess. Histopathological examination showed granulomatous cholecystitis suggestive of tuberculosis of gall bladder with extension into the sinus tract. She had an uneventful recovery and was treated with 6-month antitubercular therapy after surgery.

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Author Biography

Anil Taneja, Department of Radiology, Lady Hardinge Medical College & Dr RMLH, New Delhi
Associate Professor
Published
2015-06-17
Section
Case Reports
Keywords:
Gall bladder tuberculosis, gall bladder perforation.
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How to Cite
Kumar, P., Hazrah, P., Taneja, A., Ahuja, A., & Sharma, D. (2015). Rare presentation of gall bladder tuberculosis in a non immuno-compromised patient. Clinics and Practice, 5(2). https://doi.org/10.4081/cp.2015.754