PMC6560998_01
Computerized tomographic (CT) images of the case: A) gall bladder showing diffusely thickened wall and irregularities at fundus; B) surrounding liver shows small area of hypodensity suggestive of gall bladder malignancy with liver metastasis
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The above constellation of findings raised a radiological suspicion of malignant lesion of GB (Figure 1).
Histopathological images: A) low-power view showing two well-formed epithelioid granulomata with central necrosis (hematoxylin and eosin, x100); B) medium-power view showing well-formed epithelioid granuloma with central caseation necrosis (hematoxylin and eosin, x 200)
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The histopathological evaluation of frozen section of liver tissue revealed numerous caseating epithelioid granuloma containing Langhan's giant cells, consistent with tuberculosis (Figure 2).