Biliary tract tuberculosis. A case report with bacteriological consideration
Autio, V.; Virtanen, S.; Antila, L.
Annales Chirurgiae et Gynaecologiae Fenniae 52: 50-57
1963
ISSN/ISBN: 0003-3855 PMID: 13965603 Document Number: 3119
A case of tuberculosis involving the biliary tract is described. The patient in question had suffered pain in the upper abdomen over a longer period and gradually became jaundiced. Associated with a histologically confirmed tuberculosis of the gall bladder, marked changes and obstruction were observed in the common bile duct. The gall bladder was exstiratped and an anastomosis of the duodenum and hepatic duct effected. The patient recovered from the operation without complications and was given antituberculous medication over a period of eight months. Sixteen months after the operation the patient was in good condition and fully capable of working. The pathogenesis of tuberculosis of the gall bladder and biliary tract is discussed. Whether the ability of components of bile to inhibit the growth of tubercle bacilli is responsible for the fact that tuberculosis so seldom involved the biliary tract is discussed in the light of the results of in vitro experiments.
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