Monday, February 25, 2013

CASE: GB TUBERCULOSIS^-www.drkeyurbhatt.in*

Middle aged male with dyspeptic symptoms

ON UGIE: Found to have ulcer in anturm with puckring bx taken s/o possibly granulomatous lesion

ACE & ASCA levels were normal

CECT: S/O mass in GB fundus region with regional liver & stomach  involvement.




plan: surgery - Radical cholecystectomy with lymphadenoctomy, transverse colonic sleev resection with distal gastrectomy and Roux en Y gastro jejunostomy.




BX: Surprisingly Primary tuberculosis of GB.
Patient is started on AKT

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