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CASE REPORT
Year : 2013  |  Volume : 3  |  Issue : 2  |  Page : 150-153

Primary biliary tuberculosis: A case report and review of literature


1 Department of Surgical Gastroenterology, Narayana Medical College, Nellore, Andhra Pradesh, India
2 Department of Pathology, Narayana Medical College, Nellore, Andhra Pradesh, India

Correspondence Address:
S M Sivaraj
Department of Surgical Gastroenterology, Narayana Medical College, Nellore - 524 002, Andhra Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2278-9596.122943

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Primary biliary tuberculosis in the absence of liver involvement is a rare form of hepatobiliary tuberculosis. Barely 20 cases were reported in world literature. We present a 21-year-old man who presented to our hospital with upper abdominal pain and features of obstructive jaundice of 2 months duration. Following clinical evaluation, his radiological imaging revealed common bile duct stricture with proximal dilatation. Clinical diagnosis of cholangiocarcinoma was made and the patient underwent resection and hepaticojejunostomy. Histological examination revealed biliary tuberculosis. The patient was placed on anti-tuberculosis drugs. After one year of follow-up, patient is symptom free. Even though biliary tuberculosis is a rare cause of obstructive jaundice, in endemic areas, it should be considered as a differential diagnosis and investigated, as it can be potentially curable.


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