PMC9558873_01
(a) Axial view of the abdominal CT at level of T12 vertebrae, showing an
enlarged gallbladder filled with large amounts of fluid, with marked diffuse
uniform wall thickening and a hyperdense gallstone partially obstructing the
gallbladder neck. (b) Axial view of the abdominal CT at level of L1
vertebrae showing enlarged gallbladder with wall edema and pericholecystic
fluid.. CT, computed tomography.
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Also, a gallstone obstructing the gallbladder neck was shown (Figure 1).
Histopathologic gallbladder tissue examination. (a) Hematoxylin and eosin
(HE), gallbladder with marked areas of chronic and acute granulomatous
inflammation and caseous-necrosis. (b) Ziehl-Neelsen, gallbladder showing
intracellular acid-fast bacilli. (c) HE, marked intimal and a diffuse
subendothelial proliferation compatible with tuberculous endarteritis.
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Routine staining was performed and showed intracellular acid-fast bacilli (AFB). (Figure 2) The gallbladder specimen was sent for molecular testing, where M. tuberculosis was identified by polymerase chain reaction.