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Isolated gallbladder tuberculosis mimicking acute cholecystitis: A case report.
Kai Siang Chan1, Vishal G Shelat2, Cher Heng Tan3
1Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore 308232, Singapore.
World Journal of Gastrointestinal Surgery
|March 29, 2020
Summary
Gallbladder tuberculosis, a rare condition, can mimic acute cholecystitis. Early suspicion in endemic regions is crucial for timely diagnosis and management of this rare gallbladder infection.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Surgical Pathology
Background:
- Isolated gallbladder tuberculosis is exceptionally rare due to the gallbladder's inherent resistance to tuberculous infections.
- While gallbladder tuberculosis can mimic chronic cholecystitis or malignancy, acute presentations are seldom reported.
- Diagnosis necessitates investigating other infection sites and contact tracing.
Observation:
- A 44-year-old Filipino woman presented with symptoms consistent with acute cholecystitis.
- She had no prior history of tuberculosis or immunosuppression.
- Histopathological examination post-laparoscopic cholecystectomy confirmed gallbladder tuberculosis.
Findings:
- The patient's gallbladder tuberculosis presented atypically as acute cholecystitis.
- No evidence of pulmonary or systemic tuberculosis was found.
- The patient recovered well after surgery.
Implications:
- Clinicians must maintain a high index of suspicion for gallbladder tuberculosis in patients from endemic areas presenting with cholecystitis.
- Prompt diagnosis is essential, even in the absence of typical tuberculosis risk factors.
- This case highlights the importance of considering rare diagnoses in clinical practice.
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