Tuberculosis of Open Cholecystectomy Wound

Tuberculosis of the wound is a rare entity. A50-year lady presented with an "on and off discharging wound" from the postoperative wound site of open cholecystectomy, which was done 7 years ago. Patient did not respond to standard antibiotic treatment regimens; and also the culture remained equivocal during this period. We explored the wound and found a mass in subcutaneous tissue. Resection of mass was done and wound left open for closure by secondary intention. Histopathology of the resected mass revealed tuberculosis. Patient was started on anti-tuberculous therapy (ATT). Patient responded to the ATTtherapy, with satisfactory healed wound at one month follow-up visit. Thus, surgeons should keep in mind the increased possibility for the tuberculous etiology of wound infection in chronic, non-healing wounds.