Case Report - Primary biliary tuberculosis - an unusual case

A 25-year-old woman presented with intermittent pain in the right hypochondrium, and low-grade fever of six months duration. A diagnosis of acute on chronic cholecystitis was made. On exploratory laparotomy, the gall bladder was filled with pus and stones. A diagnosis of tuberculosis was made postoperatively by sending the pus for microbiological, and gall bladder for histopathological examination. The pus grew acid-fast bacilli. On culture, the pus and the stone grew mycobacterium tuberculosis. Anti-tubercular therapy resulted in complete recovery.