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

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