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Case Report

Rare Presentation of Gall Bladder Tuberculosis in a Non Immuno-Compromised Patient

1
Department of Surgery, Lady Hardinge Medical College & Dr RMLH, New Delhi, India
2
Department of Radiology, Lady Hardinge Medical College & Dr RMLH, New Delhi, India
3
Department of Pathology, Lady Hardinge Medical College & Dr RMLH, New Delhi, India
*
Author to whom correspondence should be addressed.
Clin. Pract. 2015, 5(2), 754; https://doi.org/10.4081/cp.2015.754
Submission received: 19 January 2015 / Revised: 3 February 2015 / Accepted: 11 March 2015 / Published: 17 June 2015

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.
Keywords: gall bladder tuberculosis; gall bladder perforation gall bladder tuberculosis; gall bladder perforation

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MDPI and ACS Style

Kumar, P.; Hazrah, P.; Taneja, A.; Ahuja, A.; Sharma, D. Rare Presentation of Gall Bladder Tuberculosis in a Non Immuno-Compromised Patient. Clin. Pract. 2015, 5, 754. https://doi.org/10.4081/cp.2015.754

AMA Style

Kumar P, Hazrah P, Taneja A, Ahuja A, Sharma D. Rare Presentation of Gall Bladder Tuberculosis in a Non Immuno-Compromised Patient. Clinics and Practice. 2015; 5(2):754. https://doi.org/10.4081/cp.2015.754

Chicago/Turabian Style

Kumar, Pawan, Priya Hazrah, Anil Taneja, Arvind Ahuja, and Deborshi Sharma. 2015. "Rare Presentation of Gall Bladder Tuberculosis in a Non Immuno-Compromised Patient" Clinics and Practice 5, no. 2: 754. https://doi.org/10.4081/cp.2015.754

APA Style

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), 754. https://doi.org/10.4081/cp.2015.754

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