title: Persistent port-site sinus in a patient after laparoscopic cholecystectomy: watch out for gallbladder tuberculosis.
abstract: BACKGROUND
  The gallbladder is rarely affected by mycobacterium tuberculosis. The diagnosis of gallbladder tuberculosis is often not suspected prior to surgery or biopsy.
  
  
  METHODS
  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.
authors.affiliation: Department of Surgery, Jawaharlal Nehru Medical College Hospital, Aligarh Muslim University, Aligarh, India.
authors.forename: Tariq
authors.initials: T
authors.lastname: Mansoor
authors.forename: Syed Amjad Ali
authors.initials: SA
authors.lastname: Rizvi
authors.forename: Rizwan Ahmad
authors.initials: RA
authors.lastname: Khan
mesh_terms: D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D005260:Female; D005705:Gallbladder Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D042882:Gallstones / Q000150:complications / Q000601:surgery*; D006801:Humans; D013530:Surgical Wound Infection / Q000175:diagnosis / Q000188:drug therapy* / Q000382:microbiology*; D016896:Treatment Outcome; D014376:Tuberculosis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*
chemical_list: D000995:Antitubercular Agents