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

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• 作者：Tariq Mansoor ; Syed Amjad Ali Rizvi ; Rizwan Ahmad Khan ; ^{drrizwanahmadkhan@yahoo.co.in}
• 关键词：port-site sinus ; laparoscopic cholecystectomy ; gallbladder tuberculosis
• 刊名：Hepatobiliary & Pancreatic Diseases International
• 出版年：2011
• 出版时间：June 2011
• 年：2011
• 卷：10
• 期：3
• 页码：328-329
• 全文大小：88 K

文摘

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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.