Case Report
Year: 2016 | Month: October | Volume: 3 | Issue: 10 | Pages: 62-65
Actinomycosis of Gall Bladder: A Rare, Unique and Interesting Case
Evith Pereira1, Hoogar M.B2., Atul Jain3, Reeta Dhar4, Kalyani Mahore1, Puja Iyengar5, Shonit Agarwal5, Priyanka Lad6, Mithila Bahuleyan6
12nd year Resident, 2Associate Professor, 3Assistant Professor, 4HOD & Professor, 53rd year Resident, 61st year Resident;
Department of Pathology, MGM Medical College, Navi Mumbai.
Corresponding Author: Evith Pereira
ABSTRACT
Introduction: Actinomycosis of gall bladder is highly infrequent and there are few cases found published in literature. The present case is rare and unique one of such few cases which was diagnosed incidentally in a clinically suspected case of carcinoma of bladder.
Presentation of the case: The case being discussed here occurred a male, 68 years, who presented with abdominal discomfort. On examination, he was found to be having cholelithiasis on ultrasonography. An open cholecystectomy was carried out. Histopathology laboratory received the specimen of gall bladder which was grayish brown in colour with diffuse thickening of the gall bladder wall, which contained multiple brownish biliary calculi. Histological examination of the gall bladder revealed diffuse loss of mucosal epithelium with the gall bladder wall showing focal area of haemorrhage and encrusted biliary material. At places, colonies of radiating filamentous structure reminiscent of colonies of Actinomyces spp were noted. The sections were further stained with relevant stains for filamentous bacteria such as Periodic Acid Schiff (PAS) stain which confirmed the colonies of Actinomyces spp.
Conclusion: The case being presented here is rare and unique case of Actinomycosis of gall bladder in that only 50 confirmed cases are found to be published in literature till date. The case in context is very interesting and unique as it is the only second documented case in India apart from another case published in 1997.
Key words: Actinomycosis, Gall bladder, Rare case, India.
[PDF Full Text]