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| Persistent port-site sinus in a patient after laparoscopic cholecystectomy: watch out for gallbladder tuberculosis |
| Tariq Mansoor, Syed Amjad Ali Rizvi and Rizwan Ahmad Khan |
Aligarh, India
Author Affiliations: Department of Surgery, Jawaharlal Nehru Medical College Hospital, Aligarh Muslim University, Aligarh, India (Mansoor T, Rizvi SAA and Khan RA)
Corresponding Author: Rizwan Ahmad Khan, MD, 4/817-F, S. S. Nagar, Nagla Road, Aligarh, U.P., India (Tel: +91 9410210281; Email: drrizwanahmadkhan@yahoo.co.in) |
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Abstract 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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2011, Vol. 10 
