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Gallbladder tuberculosis in a dialysis patient: a case-report
Tewodross Getu Wolde1, Kuirong Jiang2, Yi Miao2
1The First Affiliated Hospital of Nanjing Medical University, School of International Education, Nanjing Medical University, 300 Guangzhou Road, Nanjing, Jiangsu, China.
BMC Surgery
|April 9, 2020
Summary
Diagnosing gallbladder tuberculosis is challenging, especially in chronic kidney disease (CKD) patients. High suspicion and histological examination are key for accurate diagnosis in these complex cases.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Nephrology
Background:
- Gallbladder tuberculosis diagnosis is challenging for clinicians.
- Tuberculosis is increasingly recognized in patients with chronic kidney disease (CKD).
Observation:
- A rare case of gallbladder tuberculosis in a hemodialysis-dependent CKD patient is presented.
- Clinical signs of uremia masked abdominal tuberculosis symptoms.
- No overt signs of abdominal tuberculosis were noted besides the CKD profile.
Findings:
- The combination of gallbladder tuberculosis and CKD is seldom reported.
- Uremic symptoms obscure the presentation of abdominal tuberculosis, complicating pre-operative diagnosis.
Implications:
- Accurate diagnosis of tuberculosis in CKD patients requires a high index of suspicion.
- Perioperative findings and histological examination are crucial for diagnosis.
- Increased awareness of this rare condition is needed for timely intervention.
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