Tuberculosis of Open Cholecystectomy Wound

J Coll Physicians Surg Pak. 2017 Jul;27(7):442-443.

Abstract

Tuberculosis of the wound is a rare entity. A50-year lady presented with an "on and off discharging wound" from the postoperative wound site of open cholecystectomy, which was done 7 years ago. Patient did not respond to standard antibiotic treatment regimens; and also the culture remained equivocal during this period. We explored the wound and found a mass in subcutaneous tissue. Resection of mass was done and wound left open for closure by secondary intention. Histopathology of the resected mass revealed tuberculosis. Patient was started on anti-tuberculous therapy (ATT). Patient responded to the ATTtherapy, with satisfactory healed wound at one month follow-up visit. Thus, surgeons should keep in mind the increased possibility for the tuberculous etiology of wound infection in chronic, non-healing wounds.

Publication types

  • Case Reports

MeSH terms

  • Antitubercular Agents / administration & dosage
  • Antitubercular Agents / therapeutic use*
  • Cholecystectomy / adverse effects*
  • Cholecystitis / diagnosis
  • Cholecystitis / surgery
  • Cholelithiasis / diagnosis
  • Cholelithiasis / surgery
  • Female
  • Humans
  • Middle Aged
  • Mycobacterium tuberculosis / isolation & purification
  • Surgical Wound Infection / microbiology*
  • Treatment Outcome
  • Tuberculosis, Cutaneous / drug therapy*
  • Tuberculosis, Cutaneous / pathology
  • Wound Healing

Substances

  • Antitubercular Agents