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Persistent port-site sinus in a patient after laparoscopic cholecystectomy: watch out for gallbladder tuberculosis
Tariq Mansoor1, Syed Amjad Ali Rizvi, Rizwan Ahmad Khan
1Department of Surgery, Jawaharlal Nehru Medical College Hospital, Aligarh Muslim University, Aligarh, India.
Background:
The gallbladder is rarely affected by mycobacterium tuberculosis. The diagnosis of gallbladder tuberculosis is often not suspected prior to surgery or biopsy.
Method:
A young female patient underwent laparoscopic cholecystectomy but presented with a persistently discharging sinus from the port site.
Results:
The gallbladder biopsy revealed granulomas typical of chronic granulomatous tuberculosis. The condition of the patient was improved by antitubercular treatment.
Conclusions:
Presentation of gallbladder tuberculosis as a persistent discharging sinus at the port site in a patient who has undergone a laparoscopic cholecystectomy is extremely rare. The diagnosis was reached by histopathology only. The rarity of the presentation prompted us to report the case.
