Title: Multiple Sinuses around Umbilical Port Site due to Atypical Mycobacterium after Laparoscopic Cholecystectomy- A Rare Case Report

Authors: Vidit, Sandeep Verma, Preeti, Bhavinder K Arora

 DOI: https://dx.doi.org/10.18535/jmscr/v11i10.15

Abstract

Uncommon surgical site infection following laparoscopic cholecystectomy characterized by port site tuberculosis caused by atypical mycobacterium or non tubercular mycobacterium. This infection exhibited an atypical pattern spread of infection occurs within subcutaneous plane and leading to the formation of multiple abscesses and sinuses. Comprehensive management approach by surgical intervention by drainage and debridement of the affected area and long- term multidrug anti-tubercular therapy, resulting in complete healing of the sinuses. This case report highlights the importance of considering atypical pathogens in the differential diagnosis of surgical site infection and comprehensive management strategy.

Keywords: Atypical Mycobacterium, Tuberculosis, Multiple sinuses, Anterior abdominal wall, Laparoscopic cholecystectomy

References

  1. LeoFrancis T, Rao S, John M, Divakar S. Port-site tuberculosis: A rare complication 
  2. Seith A, Srivastava DN, Pande GK. Tubercular abdominal abscess following laparoscopic cholecystectomy: Case report. Trop Gastroenterol 2001;22:216-8.
  3. Karim MM, Zebunnesa M, Dhar S, Mustafa M. Infection in minimal access surgery and glutaraldehyde. Int J Med Res Prof 2019; 5(3):198-202.
  4. Patel, A. K., Bezawada, R., & Yootla , M. (2023). A case of anterior abdominal wall tuberculosis. International Journal Of Community Medicine And Public Health10(3), 1277–1279
  5. Raj kumar JS, Aishwarya V, Akbar S, Anirudh R, Hema T, Aluru JR, Shreya R. Non tuberculous mycobacterium as a causative factor in port site wound infection – A case report. Surg Med Open Acc J 2018
  6. Singhal L, Bhagat A, Gupta M, Gulati N, Dalal AK, Chander J. Multiple recalcitrant draining sinuses caused by Mycobacterium magritense folloing laproscopic cholecystectomy: a case report and brief review of literature.
  7. Sasmal PK, Mishra TS, Rath S, Meher S, Mohapatra D. Port site infection in laparoscopic Surgery: A review of its management. World J Clin Cases 2015;3(10):864-871.

Corresponding Author

Vidit

Junior Resident Department of General Surgery PGIMS ROHTAK