Gallbladder tuberculosis: an unlikely diagnosis after laparoscopic cholecystectomy

We present a rare case of isolated gallbladder tuberculosis (GBTB) confirmed on histological diagnosis after a laparoscopic cholecystectomy for suspected chronic cholecystitis. GBTB remains an extremely rare form of extrapulmonary tuberculosis (EPTB) and is furthermore unlikely to be seen in isolation from miliary or other abdominal tuberculosis (TB). It accounts for less than 1% of all TB cases, with even rarer presentations in the absence of other TB infection within the body. Diagnosis is hence often overlooked if clinical suspicion is not present, or histopathology is not considered.

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Publication Details

Journal
South African Journal of Surgery
Published
2025-10-28
DOI
https://doi.org/10.36303/sajs.03022
Primary Topic
Diagnosis and treatment of tuberculosis
Type
article
Field-Weighted Citation Impact
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article

Gallbladder tuberculosis: an unlikely diagnosis after laparoscopic cholecystectomy

Munir Malik, IN Palkowski
South African Journal of Surgery
Diagnosis and treatment of tuberculosis
article

Gallbladder tuberculosis: an unlikely diagnosis after laparoscopic cholecystectomy

Munir Malik, IN Palkowski
article en

Abstract

We present a rare case of isolated gallbladder tuberculosis (GBTB) confirmed on histological diagnosis after a laparoscopic cholecystectomy for suspected chronic cholecystitis. GBTB remains an extremely rare form of extrapulmonary tuberculosis (EPTB) and is furthermore unlikely to be seen in isolation from miliary or other abdominal tuberculosis (TB). It accounts for less than 1% of all TB cases, with even rarer presentations in the absence of other TB infection within the body. Diagnosis is hence often overlooked if clinical suspicion is not present, or histopathology is not considered.

South African Journal of SurgeryVol. 63(4)
Intermountain St. George Regional Hospital (US), St. George Hospital (IN)
Openalex Percentile: Top 51%
Diagnosis and treatment of tuberculosis
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