Case Report
 
Incidental cystic duct lymph node tuberculosis
Gaurav Sali1, Iqbal Ali2, Gurmohan Sethi3, Gurjit Singh4
1Assistant Professor, Department of Gen. Surgery, Padm. Dr. DY Patil Medical College, Pimpri, (Pune), Maharashtra, India.
2Associate Professor, Department of Gen. Surgery, Padm. Dr. DY Patil Medical College, Pimpri, (Pune), Maharashtra, India.
3Resident in Gen. Surgery, Resident, Department of Gen. Surgery, Padm. Dr. DY Patil Medical College, Pimpri (Pune), Maharashtra, India.
4Professor, Department of Gen. Surgery, Padm. Dr. D.Y. Patil Medical College, Pimpri (Pune), Maharashtra, India.

doi:10.5348/ijcri-2013-06-326-CR-11

Address correspondence to:
Dr. Gaurav Sali
Dept. of General Surgery, Padm. Dr. DY Patil Medical College
Sant Tukaram Nagar,Pimpri,Pune-18, [Pune]
Maharashtra
India 411044
Phone: +91-7588680343
Email: saligaurav@gmail.com

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How to cite this article:
Sali G, Ali I, Sethi G, Singh G. Incidental cystic duct lymph node tuberculosis. International Journal of Case Reports and Images 2013;4(6):337–340.


Abstract
Introduction: Tuberculosis is one of the most widespread diseases worldwide. Though it can affect any organ in body, hepatobiliary involvement by tuberculosis is uncommon. Even within hepatobiliary system isolated cystic duct lymph node tuberculosis is very rare.
Case Report: We report a case of 30-year-old female who presented with pain in right hypochondrium, anorexia and nausea. Ultrasonography of the abdomen revealed cholelithiasis. Cholecystectomy was done along with excision of incidentally found cystic duct lymph node. Histopathology confirmed tuberculosis of cystic duct lymph node with chronic cholecystitis. Antitubercular chemotherapy was given.
Conclusion: Primary hepatobiliary tuberculosis can present as isolated cystic duct lymph node tuberculosis. Histopathological diagnosis is mandatory for confirmation and antitubercular chemotherapy must be adviced to prevent further complication.

Keywords: Cystic duct lymph node, Tuberculosis, Hepatobiliary


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Author Contributions
Gaurav Sali – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
Iqabal Ali – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
Gurmohan Sethi – Acquisition of data, Analysis and interpretation of data, Drafting the article. Final approval of the version to be published
Gurjit Singh – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© Gaurav Sali et al. 2013; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)