Isolated gallbladder tuberculosis mimicking acute cholecystitis : a case report
Background: Isolated tuberculosis of the gallbladder is extremely rare due to its intrinsic resistance to tuberculous infections. There are reports of gallbladder tuberculosis mimicking cholecystitis or malignancy. However, these presentations were chronic. The diagnosis of gallbladder tuberculosis...
Saved in:
Main Authors: | , , , , |
---|---|
Other Authors: | |
Format: | Article |
Language: | English |
Published: |
2020
|
Subjects: | |
Online Access: | https://hdl.handle.net/10356/145411 |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
Institution: | Nanyang Technological University |
Language: | English |
id |
sg-ntu-dr.10356-145411 |
---|---|
record_format |
dspace |
spelling |
sg-ntu-dr.10356-1454112023-03-05T16:44:36Z Isolated gallbladder tuberculosis mimicking acute cholecystitis : a case report Chan, Kai Siang Shelat, Vishal G. Tan, Cher Heng Tang, Yee Lin Junnarkar, Sameer P. Lee Kong Chian School of Medicine (LKCMedicine) Science::Medicine Cholecystectomy Cholecystitis Background: Isolated tuberculosis of the gallbladder is extremely rare due to its intrinsic resistance to tuberculous infections. There are reports of gallbladder tuberculosis mimicking cholecystitis or malignancy. However, these presentations were chronic. The diagnosis of gallbladder tuberculosis warrants the need for investigation of additional sites of inoculation and contact tracing of all tuberculosis contacts. Gallbladder tuberculosis is a rare entity but should be suspected in patients from endemic regions with risk factors such as underlying immunosuppression or history of tuberculosis. Case Summary: We present a case of gallbladder tuberculosis presenting as acute cholecystitis. A44-year-old Filipino lady presented with a 11-d history of right hypochondrium and epigastric pain which worsened after meals with no significant past medical history. She underwent laparoscopic cholecystectomy on the presumptive diagnosis of acute cholecystitis and diagnosed as gallbladder tuberculosis after histopathological examination. The patient did not have features of pulmonary or systemic tuberculosis nor was she immunocompromised. She recovered uneventfully. She was subsequently discharged and followed-up at a hospital in her home country due to financial and social reasons. Conclusion: Clinicians should have a high index of suspicion for patients in endemic regions presenting with cholecystitis. Published version 2020-12-21T05:42:02Z 2020-12-21T05:42:02Z 2020 Journal Article Chan, K. S., Shelat, V. G., Tan, C. H., Tang, Y. L., & Junnarkar, S. P. (2020). Isolated gallbladder tuberculosis mimicking acute cholecystitis : a case report. World Journal of Gastrointestinal Surgery, 12(3), 123-128. doi:10.4240/wjgs.v12.i3.123 1948-9366 https://hdl.handle.net/10356/145411 10.4240/wjgs.v12.i3.123 32218895 3 12 123 128 en World Journal of Gastrointestinal Surgery © 2020 The Author(s). Published by Baishideng Publishing Group Inc. All rights reserved. This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially,and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:http://creativecommons.org/licenses/by-nc/4.0/ application/pdf |
institution |
Nanyang Technological University |
building |
NTU Library |
continent |
Asia |
country |
Singapore Singapore |
content_provider |
NTU Library |
collection |
DR-NTU |
language |
English |
topic |
Science::Medicine Cholecystectomy Cholecystitis |
spellingShingle |
Science::Medicine Cholecystectomy Cholecystitis Chan, Kai Siang Shelat, Vishal G. Tan, Cher Heng Tang, Yee Lin Junnarkar, Sameer P. Isolated gallbladder tuberculosis mimicking acute cholecystitis : a case report |
description |
Background: Isolated tuberculosis of the gallbladder is extremely rare due to its intrinsic resistance to tuberculous infections. There are reports of gallbladder tuberculosis mimicking cholecystitis or malignancy. However, these presentations were chronic. The diagnosis of gallbladder tuberculosis warrants the need for investigation of additional sites of inoculation and contact tracing of all tuberculosis contacts. Gallbladder tuberculosis is a rare entity but should be suspected in patients from endemic regions with risk factors such as underlying immunosuppression or history of tuberculosis. Case Summary: We present a case of gallbladder tuberculosis presenting as acute cholecystitis. A44-year-old Filipino lady presented with a 11-d history of right hypochondrium and epigastric pain which worsened after meals with no significant past medical history. She underwent laparoscopic cholecystectomy on the presumptive diagnosis of acute cholecystitis and diagnosed as gallbladder tuberculosis after histopathological examination. The patient did not have features of pulmonary or systemic tuberculosis nor was she immunocompromised. She recovered uneventfully. She was subsequently discharged and followed-up at a hospital in her home country due to financial and social reasons. Conclusion: Clinicians should have a high index of suspicion for patients in endemic regions presenting with cholecystitis. |
author2 |
Lee Kong Chian School of Medicine (LKCMedicine) |
author_facet |
Lee Kong Chian School of Medicine (LKCMedicine) Chan, Kai Siang Shelat, Vishal G. Tan, Cher Heng Tang, Yee Lin Junnarkar, Sameer P. |
format |
Article |
author |
Chan, Kai Siang Shelat, Vishal G. Tan, Cher Heng Tang, Yee Lin Junnarkar, Sameer P. |
author_sort |
Chan, Kai Siang |
title |
Isolated gallbladder tuberculosis mimicking acute cholecystitis : a case report |
title_short |
Isolated gallbladder tuberculosis mimicking acute cholecystitis : a case report |
title_full |
Isolated gallbladder tuberculosis mimicking acute cholecystitis : a case report |
title_fullStr |
Isolated gallbladder tuberculosis mimicking acute cholecystitis : a case report |
title_full_unstemmed |
Isolated gallbladder tuberculosis mimicking acute cholecystitis : a case report |
title_sort |
isolated gallbladder tuberculosis mimicking acute cholecystitis : a case report |
publishDate |
2020 |
url |
https://hdl.handle.net/10356/145411 |
_version_ |
1759854166172237824 |