Abstract

biliary stricture have been reported in the English literature 1–11 , and only one case from the Middle East. The more common benign causes of biliary stenosis are postoperative cicatricial stenosis and complications of chronic pancreatitis, duodenal papillitis and congenital biliary dilatation. The main symptoms of tuberculosis biliary stricture including jaundice and weight loss are usually indistinguishable from those of other diseases such as cholangiocarcinoma. Although the presence of past history or chest X-ray changes of tuberculosis may raise the suspicion of this aetiology, most of the reported cases are diagnosed based on surgical pathology. We report a rare cause of common bile duct (CBD) stricture in tuberculosis of the biliary

Highlights

  • Hepatobiliary tuberculosis is rare but biliary stricture due to tuberculosis is extremely rare

  • The presence of past history or chest X-ray changes of tuberculosis may raise the suspicion of this aetiology, most of the reported cases are diagnosed based on surgical pathology

  • We report a rare cause of common bile duct (CBD) stricture in tuberculosis of the biliary tract

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Summary

Introduction

Tuberculosis of the hepatobiliary system is not an uncommon finding but it is an extremely rare cause of biliary stricture. Case report A 65-year-old woman was presented to the surgical emergency with complaints of pain in the abdomen and vomiting for the last 4 months. She had complaints of weight loss (undocumented) and loss of appetite. There was no history of tuberculosis or such similar complaints in the family On examination, she was malnourished with body weight of 30 kg, pale, anicteric and had multiple lymph nodes palpable in bilateral axilla with the largest measuring 2.5 cm in diameter. On follow-up at 3 months the patient was asymptomatic and had regained 3 kg in weight

Discussion
Conclusion

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