Gallbladder tuberculosis camouflaging as gallbladder cancer – case series and review focussing on treatment

Introduction: Gallbladder tuberculosis, in an endemic region, is a common infectious etiology affecting a rare organ. The high prevalence of carcinoma gallbladder in the endemic regions of tuberculosis, like India, poses diagnostic dilemma. Case series: We are reporting three cases of gallbladder tu...

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Published inTherapeutic Advances in Infectious Disease Vol. 3; no. 6; pp. 152 - 157
Main Authors Krishnamurthy, Gautham, Singh, Harjeet, Rajendran, Jayapal, Sharma, Vishal, Yadav, Thakur Deen, Gaspar, Balan Louis, Vasishta, Rakesh Kumar, Singh, Rajinder
Format Book Review Journal Article
LanguageEnglish
Published London, England SAGE Publications 01.12.2016
Sage Publications Ltd
Subjects
Cholecystectomy
Diagnosis
Etiology
Gallbladder
Gallbladder cancer
Laparoscopy
Malignancy
Mimicry
Patients
Reviews
Surgery
Tuberculosis
gallbladder tuberculosis
carcinoma gallbladder
antitubercular therapy
radical cholecystectomy
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Summary:Introduction: Gallbladder tuberculosis, in an endemic region, is a common infectious etiology affecting a rare organ. The high prevalence of carcinoma gallbladder in the endemic regions of tuberculosis, like India, poses diagnostic dilemma. Case series: We are reporting three cases of gallbladder tuberculosis mimicking carcinoma gallbladder of which the first two cases were operated with a presumptive diagnosis of malignancy. The third case presented to us after laparoscopic cholecystectomy elsewhere and on evaluation was found to have disseminated tuberculosis. Discussion: The lack of pathognomonic clinical and radiological characters results in histological surprise of gallbladder tuberculosis following surgery performed for other indications like malignancy. In preoperatively diagnosed patients medical management plays pivotal role in management. Surgery is required in symptomatic patients. On the other hand, histologically proven cases following surgical resection require antitubercular therapy. Conclusion: Previous history of tuberculosis or concomitant tuberculosis at other sites may provide clue to the diagnosis of biliary tuberculosis. Antitubercular treatment after surgery plays an important role in preventing further dissemination.
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ISSN:2049-9361
2049-937X
DOI:10.1177/2049936116678589