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Port site tuberculosis a rare post operation entity: A case report.
Ibad-Ur Rehman1, Fareeha Farooqui2, Sania Waseem2
1Shifa College of Medicine, Shifa Tameer e Millat University, Islamabad, Pakistan.
Annals of Medicine and Surgery (2012)
|May 23, 2022
Summary
Port site tuberculosis (TB) is a rare complication after laparoscopic cholecystectomy. Early diagnosis via biopsy and multidisciplinary treatment, including anti-tubercular therapy, led to complete recovery.
Area of Science:
- Surgical Infections
- Mycobacteriology
Background:
- Laparoscopic cholecystectomy is a prevalent surgical procedure globally.
- Surgical site infections are common, but uncommon complications like tuberculosis can occur.
Observation:
- A 62-year-old male presented with a post-surgical site infection at port sites following laparoscopic cholecystectomy.
- The patient exhibited no typical tuberculosis symptoms, and initial lab tests were inconclusive.
- A biopsy revealing epithelioid granulomas confirmed the diagnosis of port site tuberculosis.
Findings:
- Port site tuberculosis is a rare but possible complication of laparoscopic surgery.
- Diagnosis can be challenging due to atypical presentation and non-specific initial investigations.
- Incision and drainage combined with anti-tubercular therapy resulted in complete disease resolution.
Implications:
- Highlights the importance of considering rare infections in post-surgical complications.
- Emphasizes the need for a multidisciplinary approach involving surgery, pathology, and infectious diseases for accurate diagnosis and management.
- Suggests meticulous sterilization protocols are crucial to prevent such uncommon infections.
