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Title: Isolated gallbladder tuberculosis mimicking acute cholecystitis : a case report
Authors: Chan, Kai Siang
Shelat, Vishal G.
Tan, Cher Heng
Tang, Yee Lin
Junnarkar, Sameer P.
Keywords: Science::Medicine
Issue Date: 2020
Source: Chan, K. S., Shelat, V. G., Tan, C. H., Tang, Y. L., & Junnarkar, S. P. (2020). Isolated gallbladder tuberculosis mimicking acute cholecystitis : a case report. World Journal of Gastrointestinal Surgery, 12(3), 123-128. doi:10.4240/wjgs.v12.i3.123
Journal: World Journal of Gastrointestinal Surgery
Abstract: Background: Isolated tuberculosis of the gallbladder is extremely rare due to its intrinsic resistance to tuberculous infections. There are reports of gallbladder tuberculosis mimicking cholecystitis or malignancy. However, these presentations were chronic. The diagnosis of gallbladder tuberculosis warrants the need for investigation of additional sites of inoculation and contact tracing of all tuberculosis contacts. Gallbladder tuberculosis is a rare entity but should be suspected in patients from endemic regions with risk factors such as underlying immunosuppression or history of tuberculosis. Case Summary: We present a case of gallbladder tuberculosis presenting as acute cholecystitis. A44-year-old Filipino lady presented with a 11-d history of right hypochondrium and epigastric pain which worsened after meals with no significant past medical history. She underwent laparoscopic cholecystectomy on the presumptive diagnosis of acute cholecystitis and diagnosed as gallbladder tuberculosis after histopathological examination. The patient did not have features of pulmonary or systemic tuberculosis nor was she immunocompromised. She recovered uneventfully. She was subsequently discharged and followed-up at a hospital in her home country due to financial and social reasons. Conclusion: Clinicians should have a high index of suspicion for patients in endemic regions presenting with cholecystitis.
ISSN: 1948-9366
DOI: 10.4240/wjgs.v12.i3.123
Rights: © 2020 The Author(s). Published by Baishideng Publishing Group Inc. All rights reserved. This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially,and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
Fulltext Permission: open
Fulltext Availability: With Fulltext
Appears in Collections:LKCMedicine Journal Articles

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