Persistent port-site sinus in a patient after laparoscopic cholecystectomy: watch out for gallbladder tuberculosis.

Hepatobiliary Pancreat Dis Int

Department of Surgery, Jawaharlal Nehru Medical College Hospital, Aligarh Muslim University, Aligarh, India.

Published: June 2011

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.

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http://dx.doi.org/10.1016/s1499-3872(11)60055-6DOI Listing

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