Tuberculosis of the cystic duct lymph node

Melo, Valdinaldo Aragão de; Melo, Gustavo Barreto; Silva, Renata Lemos; Piva, Nestor; Almeida, Maria Luíza Dória

doi:10.1590/s1413-86702004000100009

Cited by 19 publications

(14 citation statements)

References 5 publications

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“…Our case is similar to that reported by de Melo et al [6] where in gallstone disease was present but tuberculosis was seen only in cystic lymph node but not in gallbladder. If untreated it may spread to involve gallbladder and results in formation of biliary stricture, biliary fistulae that may progress to bilioma [10].…”

Section: Discussionsupporting

confidence: 92%

“…Abdominal tuberculosis constitutes 3% of extrapulmonary tuberculosis in HIVnegative patients [5]. Tuberculosis of the cystic duct lymph node without involvement of gallbladder is also exceedingly rare [1,6]. In a study done by Amarapurkar et al, 38 patients of hepatobiliary tuberculosis (HBTB) were reported amongst 242 tuberculosis patients [7].…”

Section: Discussionmentioning

confidence: 99%

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Incidental cystic duct lymph node tuberculosis

Sali¹,

Azhar²,

Sethi³

et al. 2013

IJCRI

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Incidental cystic duct lymph node tuberculosis

Sali¹,

Azhar²,

Sethi³

et al. 2013

IJCRI

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“…Gallbladder TB may present with features of cholecystitis, [24] a gallbladder mass [9] or with obstructive jaundice due to associated enlarged pericholedochal lymph nodes. Three of our patients had TB of the gallbladder; one presented with a mass in the gallbladder, the second with a polyp in the gallbladder and the third with a hemobilia.…”

Section: Discussionmentioning

confidence: 99%

Hepatobiliary and pancreatic tuberculosis: A two decade experience

et al. 2007

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BackgroundIsolated hepatobiliary or pancreatic tuberculosis (TB) is rare and preoperative diagnosis is difficult. We reviewed our experience over a period two decades with this rare site of abdominal tuberculosis.MethodsThe records of 18 patients with proven histological diagnosis of hepatobiliary and pancreatic tuberculosis were reviewed retrospectively. The demographic features, sign and symptoms, imaging, cytology/histopathology, procedures performed, outcome and follow up data were obtained from the departmental records. The diagnosis of tuberculosis was based on granuloma with caseation necrosis on histopathology or presence of acid fast bacilli.ResultsOf 18 patients (11 men), 11 had hepatobiliary TB while 7 had pancreatic TB. Two-thirds of the patients were < 40 years (mean: 42 yrs; range 19–70 yrs). The duration of the symptoms varied between 2 weeks to 104 weeks (mean: 20 weeks). The most common symptom was pain in the abdomen (n = 13), followed by jaundice (n = 10), fever, anorexia and weight loss (n = 9). Five patients (28%) had associated extra-abdominal TB which helped in preoperative diagnosis in 3 patients. Imaging demonstrated extrahepatic bile duct obstruction in the patients with jaundice and in addition picked up liver, gallbladder and pancreatic masses with or without lymphadenopathy (peripancreatic/periportal). Preoperative diagnosis was made in 4 patients and the other 14 were diagnosed after surgery. Two patients developed significant postoperative complications (pancreaticojejunostomy leak [1] intraabdominal abscess [1]) and 3 developed ATT induced hepatotoxicity. No patient died. The median follow up period was 12 months (9 – 96 months).ConclusionTuberculosis should be considered as a differential diagnosis, particularly in young patients, with atypical signs and symptoms coming from areas where tuberculosis is endemic and preoperative tissue and/or cytological diagnosis should be attempted before labeling them as hepatobiliary and pancreatic malignancy.

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“…Pre-operative diagnosis of GT is difficult, more so in calculous cholecystitis, as most of the symptoms are attributed to gallstones and the diagnosis is usually made on histological examination of the gall bladder specimen after cholecystectomy [10,11]. Effectively, there is no pathognomonic presentation of GT witch may present with features of cholecystitis, a gallbladder mass, with obstructive jaundice due to associated enlarged pericholedochal lymph nodes [12][13][14] and with non-specific systemic symptoms such as abdominal pain, weight loss, low-grade fever, anorexia, vomiting and abdominal mass [5,6].…”

Section: Discussionmentioning

confidence: 99%

Primitive Gallbladder Tuberculosis

Berjab¹

2012

Virology & Mycology

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Gallbladder tuberculosis is an exceedingly rare disease. We present a new case of apatient who underwent surgery with the preoperative diagnosis of cholelithiasis. Diagnosis of gallbladder tuberculosis was obtained with the histologic examination of the frozen section. A correct preoperative diagnosis of Gallbladder tuberculosis is difficult, and it may be confused with different gallbladder diseases.

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Tuberculosis of the cystic duct lymph node

Cited by 19 publications

References 5 publications

Incidental cystic duct lymph node tuberculosis

Incidental cystic duct lymph node tuberculosis

Hepatobiliary and pancreatic tuberculosis: A two decade experience

Primitive Gallbladder Tuberculosis

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