Port site tuberculosis after laparoscopic cholecystectomy mimicking nonhealing cutaneous ulcer – A rare case report

ABSTRACT Laparoscopic cholecystectomy (LC) is a widely performed procedure with surgical site infections being a common occurrence. However, port site tuberculosis (TB) following laparoscopy is a rare complication, often attributed to improper sterilization techniques and contamination of instruments. We present a case of port site TB following LC in a 30-year-old female, who presented with persistent pain with a discharging sinus in the right hypochondrium for the last 5 months. Initial investigations failed to indicate TB, but histopathology of the excised sinus tract revealed multiple epithelioid granulomas, leading to the diagnosis of port site TB. The patient was initiated on anti-tubercular therapy, resulting in resolution of symptoms without recurrence during the 3-month follow-up period. Early diagnosis through histopathological examination and prompt initiation of anti-tubercular therapy can lead to better outcome.