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Case Reports
. 2020 Jun 25;7(6):e00414.
doi: 10.14309/crj.0000000000000414. eCollection 2020 Jun.

Gallbladder Tuberculosis Presenting as Obstructive Jaundice

Bharti Varshney  1 , Poonam Elhence  1 , Subhash Soni  2 , Vaibhav Kumar Varshney  2 , Taruna Yadav  3 , Souvik Saha  1
Affiliations
Case Reports

Gallbladder Tuberculosis Presenting as Obstructive Jaundice

Bharti Varshney et al. ACG Case Rep J. .

Abstract

Isolated gallbladder tuberculosis is a rare entity, even in endemic zones. Preoperative diagnosis is usually not possible, with most of the cases being diagnosed either as cholecystitis or malignancy. Histopathological examination of the resected specimen clinches the diagnosis. We present a middle-aged man with obstructive jaundice who was diagnosed to have gallbladder malignancy clinically and radiologically and on microscopy, and was diagnosed as gallbladder tuberculosis with the involvement of the common bile duct.

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Figures

Figure 1.
Figure 1.
Abdominal contrast-enhanced computed tomography showing thickening at the gallbladder neck with extension along cystic duct and proximal common bile duct (arrow).
Figure 2.
Figure 2.
Homogeneously enhancing interaortocaval lymph node (arrow).
Figure 3.
Figure 3.
Magnetic resonance cholangiopancreatography image showing (A) complete block at the level of the common bile duct (white arrow) with moderate bilobar intrahepatic biliary radical dilatation and (B) axial T2W1 depicting T2 hypointense wall thickening of the gallbladder neck (white arrow).
Figure 4.
Figure 4.
Microphotograph of the gallbladder showing gallbladder mucosa and epithelioid cell granulomas (hematoxylin and eosin stain, 4× magnification).
Figure 5.
Figure 5.
Microphotograph of the gallbladder showing the presence of acid-fast bacilli (Ziehl-Neelsen stain, 100× magnification).
See this image and copyright information in PMC

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