ABSTRACT
A 48-year-old male patient was admitted to suffering from hydatid disease located in the gall bladder. Although Morocco remains an endemic area for echinococcosis, this presentation of the disease was rare. The pericyst was tightly attached to the liver. Complete pericystectomy with cholecystectomy was done. Histopathology confirmed the presence of a calcified hydatid cyst of the gall bladder. Perioperative adjuvant medical therapy with albendazole was administered. After a 2-year follow-up, no recurrence occurred.
Subject(s)
Calcinosis/complications , Echinococcosis, Hepatic/complications , Gallbladder Diseases/etiology , Liver/pathology , Albendazole/therapeutic use , Anthelmintics/therapeutic use , Calcinosis/diagnosis , Calcinosis/therapy , Cholecystectomy/methods , Constriction, Pathologic/diagnosis , Constriction, Pathologic/etiology , Constriction, Pathologic/surgery , Diagnosis, Differential , Echinococcosis, Hepatic/diagnosis , Echinococcosis, Hepatic/therapy , Follow-Up Studies , Gallbladder Diseases/diagnosis , Gallbladder Diseases/surgery , Humans , Laparotomy , Liver/surgery , Male , Middle AgedABSTRACT
Gastrointestinal tuberculosis is quite rare, representing only 3% of all extrapulmonary cases. Involvement of the appendix is rare, only occurring in about 1% of cases. It is usually secondary to tuberculosis elsewhere in the abdomen. A prompt diagnosis depends on a high index of suspicion as clinical signs may be nonspecific and microbiological confirmation is difficult. Histopathologic examination is often the only way to reach a diagnosis and to establish specific antibiotic therapy. In these cases, due to the absence of specific symptoms and signs, the diagnosis is delayed until after surgery.