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Tuberculosis of gallbladder with candidiasis, a rare entity
B D K Leong1, K W Chan, P Ramu
1Department of Surgery, Kuala Lumpur Hospital, Jalan Pahang, 50586 Kuala Lumpur, Malaysia. bleongdk@yahoo.com
The Medical Journal of Malaysia
|November 24, 2011
Summary
Gallbladder tuberculosis (GT) is a rare infection, difficult to diagnose clinically. This case highlights diagnostic challenges and confirms GT in Southeast Asia through histopathology.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Pathology
Background:
- Gallbladder tuberculosis (GT) is exceptionally rare due to bile's protective effects.
- Clinical and radiological diagnosis of GT presents significant challenges.
Observation:
- A patient presented with jaundice, a right hypochondrial mass, and CT findings mimicking gallbladder empyema.
- Histopathological examination of the resected gallbladder was crucial for diagnosis.
Findings:
- The resected gallbladder showed epithelioid granulomas with caseating necrosis.
- Presence of Langhan's giant cells confirmed tuberculosis.
Implications:
- This report represents the first documented case of gallbladder tuberculosis in Southeast Asia.
- Highlights the importance of considering GT in differential diagnoses, especially in endemic regions.
- Emphasizes the role of histopathology in diagnosing rare presentations of tuberculosis.
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