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Related Concept Videos

Diseases of the Liver and Gallbladder01:26

Diseases of the Liver and Gallbladder

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Liver and gallbladder diseases are a significant health concern, with prominent conditions including cirrhosis, hepatitis, non-alcoholic fatty liver disease (NAFLD), and gallstones. Jaundice is a common manifestation of liver and biliary disease.
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Gallbladder01:17

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The gallbladder is a small, pear-shaped organ that plays a crucial role in our digestive system. Measuring about 10 cm in length, it is comparable in size to a kiwi fruit and is located in a hollow area on the lower surface of the liver. The gallbladder's primary function is to store and concentrate bile, a fluid produced by the liver that aids in digestion.
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Pulmonary Tuberculosis III01:31

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Tuberculosis (TB) is a contagious infection primarily affecting the lung parenchyma but which can also affect other body parts. TB can be classified based on disease development, presentation, and the affected anatomical site.
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Chronic Bowel Disorders: Introduction01:17

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Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
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Chronic Pancreatitis I: Introduction01:24

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The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
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Bile01:19

Bile

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Bile is a crucial bodily fluid, characterized by its yellow-green color and alkaline nature. Produced in the liver, it is transported through the common hepatic duct into either the cystic duct, leading to the gallbladder, or directly into the common bile duct. The flow of bile is regulated by the sphincter of Oddi located at the entrance of the duodenum. When this sphincter is closed, bile is redirected to the gallbladder for storage and concentration.
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Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
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Gallbladder Tuberculosis Presenting as Obstructive Jaundice.

Bharti Varshney1, Poonam Elhence1, Subhash Soni2

  • 1Department of Pathology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.

ACG Case Reports Journal
|October 16, 2020
PubMed
Summary
This summary is machine-generated.

Gallbladder tuberculosis is rare and often misdiagnosed as cholecystitis or malignancy. Histopathology confirms gallbladder tuberculosis, even with common bile duct involvement.

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Area of Science:

  • Gastroenterology
  • Infectious Diseases
  • Pathology

Background:

  • Isolated gallbladder tuberculosis is an uncommon presentation, particularly in regions where tuberculosis is endemic.
  • Preoperative diagnosis is challenging, with symptoms often mimicking gallbladder inflammation or cancer.

Observation:

  • A middle-aged male patient presented with obstructive jaundice.
  • Clinical and radiological assessments suggested gallbladder malignancy.
  • Microscopic examination revealed gallbladder tuberculosis.

Findings:

  • The case highlights the difficulty in distinguishing gallbladder tuberculosis from malignancy preoperatively.
  • Histopathological examination of the resected specimen is crucial for definitive diagnosis.
  • The tuberculosis involved the common bile duct, complicating the presentation.

Implications:

  • This case underscores the importance of considering rare infections like tuberculosis in the differential diagnosis of gallbladder diseases.
  • Accurate diagnosis through histopathology is essential for appropriate treatment and management.
  • Further research may be needed to improve preoperative diagnostic accuracy for gallbladder tuberculosis.