Figure 1
From: Hepatobiliary and pancreatic tuberculosis: A two decade experience
Case 1 A 41-year-old man presented with upper gastrointestinal bleed. Endoscopy revealed blood coming out from ampulla Fig 1a Axial section of Dual phase CT scan shows hyperdensity (white arrow) within the gallbladder 1b Flush aortogram shows origin of the right hepatic artery directly from the coeliac trunk and spasm in one of the branches (white arrow) 1 c Intraoperative picture shows multiple tubercles over the gallbladder (white arrow) and liver surface 1 d Histopathology sections (100×) showing gallbladder mucosa (black arrow) with underlying epithelioid cell granuloma (white arrow). Final diagnosis: Gall bladder TB