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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Dr. Keyur Bhatt- Best GI
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