Indian Journal of Innovative Clinical Research

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Port Site Tuberculosis Following Laparoscopic Cholecystectomy In A Nonimmunocompromised Patient: A Diagnostic Challenge In Endemic Settings

Article Information

Abhishek Kumar

Introduction: Port site tuberculosis (TB) following laparoscopic surgery is an uncommon but severe complication, harder to diagnose in places endemic for TB where suspicion may be delayed.

Methods: We herein report a case of a previously immunocompetent, 45-year-old woman, who had port site tuberculosis following an uneventful laparoscopic cholecystectomy performed upon her, three months ago.

Results: The patient had a slowly progressing, indurated mass at the port site of the epigastrium, along with constitutional symptoms. Histopathological examination revealed epithelioid granulomas along with caseous necrosis, and acid-fast bacilli were identified by Ziehl-Neelsen staining. The patient had a satisfactory response to conventional anti-tubercular therapy.

Conclusion: Port site tuberculosis should be a part of the differential diagnosis of post-laparoscopic complications of wounds, especially in areas endemic for TB. Early recognition and appropriate treatment are essential for the best possible outcomes.