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Indian Journal of Surgery
Medknow Publications on behalf of Association of Surgeons of India
ISSN: 0972-2068
Vol. 67, Num. 3, 2005, pp. 170-170
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Indian Journal of Surgery, Vol. 67, No. 3, May-June, 2005, pp. 170
Letter To Editor
Gallbladder tuberculosis
Lee ArvindDhas, Agarwal Sunil
Department of Surgery, Christian Medical College, Vellore, Tamilnadu
Correspondence Address:Department of Surgery, Christian Medical College, Vellore, Tamilnadu
Code Number: is05055
Related article: is05056
Dear Editor,
We read the article ′Tuberculosis of the gallbladder without associated gallstones or cystic duct obstruction′ by Tanwani et al.[1] with
interest. It is indeed remarkable that apart from the nodes the only
other intra-abdominal visceral focus was found in the gallbladder. We
however have a few reservations about the management of the case.
- Why was an ultrasound guided FNAC/biopsy of the nodes not
attempted?
- Could an extraperitoneal approach to the iliac nodes for biopsy
have avoided a laparotomy?
- If laparotomy were required, wouldn′t a laparoscopic biopsy
be a better option?
- We do not find a reasonable indication to do a cholecystectomy
in this case, as tuberculosis was high on the cards and medical therapy
is
the main stay of treatment.
References
| 1. |
Tanwani R, Sharma D, Chandrakar S. Tuberculosis of gall bladder without
associated gall stones or cystic duct obstruction. Indian J Surg 2005;67:45-6. Back
to cited text no. 1 [BIOLINE] |
Copyright 2005 - Indian Journal of Surgery
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