Port site tuberculosis and retained gall stone after laparoscopic cholecystectomy

Vivek Kumar; Azaz Akhtar Siddiqui; Khriethonuo Kesiezie; Mahak Goel; Arun Kumar; Jenna B. Bhattacharya; Fathima O. V.

doi:10.18203/issn.2454-2156.IntJSciRep20233560

Authors

Vivek Kumar Department of Surgery, Lady Hardinge Medical College and Associated Smt Sucheta Kriplani Hospital, New Delhi, India
Azaz Akhtar Siddiqui Department of Surgery, Lady Hardinge Medical College and Associated Smt Sucheta Kriplani Hospital, New Delhi, India
Khriethonuo Kesiezie Department of Surgery, Lady Hardinge Medical College and Associated Smt Sucheta Kriplani Hospital, New Delhi, India
Mahak Goel Department of Surgery, Lady Hardinge Medical College and Associated Smt Sucheta Kriplani Hospital, New Delhi, India
Arun Kumar Department of Surgery, Lady Hardinge Medical College and Associated Smt Sucheta Kriplani Hospital, New Delhi, India
Jenna B. Bhattacharya Department of Pathology, Lady Hardinge Medical College and Associated Smt Sucheta Kriplani Hospital, New Delhi, India
Fathima O. V. Department of Pathology, Lady Hardinge Medical College and Associated Smt Sucheta Kriplani Hospital, New Delhi, India

DOI:

https://doi.org/10.18203/issn.2454-2156.IntJSciRep20233560

Keywords:

Port site tuberculosis, Post laparoscopic cholecystectomy, Sterilization,, Retained stone

Abstract

Laparoscopic cholecystectomy is one of the most common general surgical procedures performed. Port site infection is common surgical site infection. However, tuberculosis of port sites is very uncommon. We report a case of a 36-year-old lady who was presented to our center with complaint of swelling at midclavicular port and seropurulent discharge from epigastrium port site for one month after laparoscopic cholecystectomy done outside. Patient underwent wide local excision with stone retrieval and histopathology of specimen was suggestive of chronic inflammation. Following excision patient again develop swelling at scar site and FNAC from swelling reveal feature of tuberculosis, subsequently patient was started on anti-tubercular drug therapy and follow-up after 2 months show healthy suture line with no sinus or discharge or swelling. Port site tuberculosis in absence of tuberculosis of gall bladder and abdominal is most likely due to contamination of instrument or dressing by mycobacterium tuberculosis. Diagnosis is made by ZN staining or FNAC or biopsy. Management includes incision and drainage or debridement or wide local excision with anti-tuberculosis medication. Following standardized sterilization procedure is essential for prevention.

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