A Case Report of the Gallbladder Tuberculosis

Akihiro Yoshitake, Toshio Kanai, Tsukasa Takabayashi, Motohito Nakagawa, Yukio kawano, Sayuri Mukouyama and Fumiki Toriumi

Department of Surgery, Hiratsuka City Hospital

A 73-year-old man was admitted with right hypochondralgia. Computed tomography (CT), magnetic resonance imaging (MRI), and drip infusion cholangiography (DIC) demonstrated a gallbladder stone and marked dilation of the gallbladder fundus. Open laparotomy disclosed a dilated fundus involving the abdominal wall and a stenotic gallbladder body. Open cholecystectomy and conbined resection of the abdominal wall were conducted based on a diagnosis of chronic calculous cholecystitis. The fundus contained white serous fluid with low viscosity, in which bacillus tuberculosis was identified. Antituberculous agents were administrated for 1 year postoperatively, and the patient remains free of complications. The presented case indicated that gallbladder tuberculosis should be included in the differential diagnosis of chronic cholecystitis.

Key words
gallbladder tuberculosis, gall stone

Reprint requests
Toshio Kanai Department of Surgery, Hiratsuka City Hospital 1-19-1 Minamihara, Hiratsuka, 254-0065 JAPAN

Accepted
April 25, 2001

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