Varshney Bharti, Elhence Poonam, Soni Subhash, Varshney Vaibhav Kumar, Yadav Taruna, Saha Souvik
Department of Pathology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
Department of Surgical Gastroenterology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
ACG Case Rep J. 2020 Jun 25;7(6):e00414. doi: 10.14309/crj.0000000000000414. eCollection 2020 Jun.
Isolated gallbladder tuberculosis is a rare entity, even in endemic zones. Preoperative diagnosis is usually not possible, with most of the cases being diagnosed either as cholecystitis or malignancy. Histopathological examination of the resected specimen clinches the diagnosis. We present a middle-aged man with obstructive jaundice who was diagnosed to have gallbladder malignancy clinically and radiologically and on microscopy, and was diagnosed as gallbladder tuberculosis with the involvement of the common bile duct.
孤立性胆囊结核是一种罕见的疾病,即使在流行地区也是如此。术前通常无法做出诊断,大多数病例被诊断为胆囊炎或恶性肿瘤。切除标本的组织病理学检查可确诊。我们报告一例中年男性患者,其因梗阻性黄疸入院,临床及影像学检查均诊断为胆囊恶性肿瘤,显微镜检查也支持该诊断,但最终经病理确诊为累及胆总管的胆囊结核。