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

Abstract

The gall bladder is least common intra-abdominal 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.

Suspected Large Gall Bladder Mucocele Extending from Right Hypochondrium Up to Right Iliac Region Turned Out to be Gall Bladder Perforation in a Schizophrenic Patient: A Rare Case Report and Literature Review

“…These training exercises prepare both the patient and their family to notice crucial components of GB problems, such as detecting signs, symptoms, and repercussions and urging proper medical treatment when necessary. Therefore, it provides people with insights about the causative components and risk factors associated with GB disorders, assisting in the adoption of prevention methods such as maintaining a healthy weight, diet, and lifestyle, as well as avoiding triggers like fasting, stress, or sickness [11,12].…”

Gallbladder tuberculosis mimicking cholecystitis: A case report

“…The route of spreading TB germs to the gall bladder can be through peritoneal, hematogenous, or lymphatic [3]. The most spread is through hematogenous [10]. In the ultrasound examination, the gallbladder's abdomen is replaced by a mass with stones inside.…”

Granulomatous Lithiasic Cholecystitis in Sarcoidosis

“…1 A case of granulomatous cholecystitis in the context of tuberculosis has been reported recently. 2 Here we report a case of gallbladder epithelioid and giant cell granulomas occurring in the course of treated thoraco-abdominal sarcoidosis and revealed by lithiasic cholecystitis.…”