Primary biliary tuberculosis in a child.

ABSTRACT

A case of primary biliary tuberculosis is described in an eight year old female child. The clinical and radiological features suggested presence of chronic cholecystitis. Surgical exploration revealed thick walled gall bladder distended with caseous material with adherent caseating portal lymph nodes. Cholecystostomy along with antitubercular therapy resulted in satisfactory recovery. Histopathological examination of lymph node biopsy and microbial examination of pus confirmed diagnosis of tuberculosis. Authors review their experience with this rare entity and the pertinent literature.