scholarly journals Port Site Infections Following Laparoscopic Cholecystectomy

2018 ◽  
Vol 29 (2) ◽  
pp. 51-58
Author(s):  
Sadia Sajmin Siddiqua ◽  
Md Azizul Islam Khan ◽  
Md Arif Uddin Khan ◽  
Shovon Sayeed
Keyword(s):  
Mycobacterium Tuberculosis ◽  
Laparoscopic Cholecystectomy ◽  
Early Diagnosis ◽  
Histopathological Examination ◽  
Rare Complication ◽  
Sinus Tract ◽  
Port Site ◽  
Successful Outcome ◽  
Strict Adherence ◽  
Abscess Wall

Background: Port site infections (PSIs) following laparoscopic cholecystectomy is an infrequent complication. Among the causes of PSIs Mycobacterium tuberculosis is rare but it has been increasingly recognized in the recent years. Lack of awareness of this complication leads to prolonged morbidity. Early diagnosis and treatment is important for theresolution of the disease.Methods: This was an observational descriptive study carried out on patients who underwent laparoscopic cholecystectomy. In patients of PSIs, Gram and AFB staining with culture & sensitivity of pus and biopsy of abscess wall or sinus tract were obtained as per need to reach the diagnosis. Patients were treated accordingly.Results: The rate of PSIs was 3.92% in this study. Age, sex & body weight have no impact on PSIs. Diabetes mellitus, hypertension, hypothyroidism, acute cholecystitis & spillage of bile or stone during the procedure increases the rate of PSIs. Epigastric port was affected more than that of other ports. Among the causes of port site infections in 55.18% cases it was with Gram +ve bacteria, in 34.49% cases with Gram -ve bacteria, in 1.72% cases atypical mycobacteria, in 5.17% cases Mycobacterium tuberculosis & in 3.44% cases no organisms were found. Most of the PSIs developed early within one month & responded well with antibiotics. Diagnosisof port site tuberculosis was established by histopathological examination of tissue from abscess wall or sinus tract & treated as per WHO guide line. No recurrence noted at 2 years follow up.Conclusion: Port site tuberculosis after laparoscopic cholecystectomy is a rare entity. The present study is an attempt to make surgeons aware of this rare complication. Early diagnosis and proper treatment are prerequisites to the successful outcome. Strict adherence to well established sterilization protocol is a must for the prevention.Bangladesh J Medicine Jul 2018; 29(2) : 51-58

Port-site Tuberculosis: A Rare Complication Following Laparoscopic Cholecystectomy

2002 ◽  
Vol 34 (12) ◽  
pp. 928-929 ◽  
Author(s):  
Nachnani Jagdish ◽  
Rohondia Omprakash ◽  
Rege Sameer
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Rare Complication ◽  
Port Site

scholarly journals Hepatic Subcapsular Biloma: A Rare Complication of Laparoscopic Cholecystectomy

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Vassilios Stathopoulos ◽  
Marios Georganas ◽  
Konstantinos Stratakis ◽  
Eirini Delaporta ◽  
Emmanouil Karallas ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Early Diagnosis ◽  
Percutaneous Drainage ◽  
Rare Complication ◽  
Iatrogenic Injury ◽  
Ct Guidance

The development of an intra-abdominal bile collection (biloma) is an infrequent complication of laparoscopic cholecystectomy (LC). These bilomas develop in the subhepatic space most often secondary to iatrogenic injury of the extrahepatic ducts. We present a case of hepatic subcapsular biloma following LC and we discuss its etiology and management. Early diagnosis is crucial and percutaneous drainage under CT guidance should be employed to resolve this complication.

scholarly journals Multiple port-site metastasis of incidental gallbladder carcinoma after laparoscopic cholecystectomy

2012 ◽  
Vol 59 (1) ◽  
pp. 105-109 ◽  
Author(s):  
Zoran Raznatovic ◽  
Nemanja Zaric ◽  
Danijel Galun ◽  
Nebojsa Lekic ◽  
Marjan Micev ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Histopathological Examination ◽  
Port Site ◽  
Review Of Literature ◽  
Port Site Metastasis ◽  
Port Site Metastases ◽  
Minimal Trauma ◽  
Full Thickness Excision ◽  
Incidental Gallbladder Cancer ◽  
Retrieval Bag

Laparoscopic cholecystectomy is a surgical procedure of choice for benign gallbladder diseases. In about 1-2% of cases histopathological examination demonstrate incidental gallbladder cancer (GBCA). We report a case of a 61 year old woman who developed port site metastases after laparoscopic cholecystectomy for adenocarcinoma of the gallbladder. Metastases appeared on all four port sites. Review of literature regarding incidental GBCA an port site metastases was also performed. We conclude that the retrieval bag should be routinely used in laparoscopic cholecystectomy; the procedure should be performed with minimal trauma; in cases of incidental GB carcinoma, full thickness excision of the abdominal wall of the port sites demands additional studies; additional liver bed excision and local lymphadenectomy for T1b carcinoma are yet to be considered.

scholarly journals A rare complication following laparoscopic cholecystectomy; a case series

HPB ◽  
2019 ◽  
Vol 21 ◽  
pp. S542
Author(s):  
A.M. Schreuder ◽  
T.M. van Gulik ◽  
E.A. Rauws
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Rare Complication ◽  
Case Series

scholarly journals Diffuse leptomeningeal glioneuronal tumor with high-grade features masquerading as tubercular meningitis—a case report

2021 ◽  
Vol 52 (1) ◽  
Author(s):  
Sameer Peer ◽  
Vivek Murumkar ◽  
Karthik Kulanthaivelu ◽  
Chandrajit Prasad ◽  
Shilpa Rao ◽  
...  
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
Histopathological Examination ◽  
Glioneuronal Tumor ◽  
Communicating Hydrocephalus ◽  
High Grade ◽  
Endemic Region ◽  
Tubercular Meningitis ◽  
Leptomeningeal Enhancement ◽  
Diffuse Leptomeningeal Glioneuronal Tumor

Abstract Background Diffuse leptomeningeal glioneuronal tumor (DLGNT) has been recently described in the literature. The complete neuroimaging spectrum and histopathological characteristics of this entity are yet to be elucidated. In an endemic region, diffuse leptomeningeal enhancement on neuroimaging with associated communicating hydrocephalus is usually suggestive of infective meningitis and the patients are started on empirical anti-microbial therapy. However, it is important to consider other differential diagnosis of leptomeningeal enhancement in such cases, particularly if the clinical condition does not improve on anti-microbial therapy. An early diagnosis of a neoplastic etiology may be of particular importance as the treatment regimens vary considerably depending on the underlying disease condition. Case presentation In this case report, we describe a case of DLGNT with high-grade histopathological features which was initially managed as tubercular meningitis based on the initial neuroimaging findings. Due to worsening of the clinical course and subsequent imaging findings at follow-up, a diagnosis of DLGNT was considered and subsequently proven to be DLGNT with features of anaplasia on histopathological examination of leptomeningeal biopsy specimen. Conclusion This case highlights the importance of recognizing certain subtle finding on MRI which may help in an early diagnosis of DLGNT which is crucial for appropriate treatment.

scholarly journals Massive hemobilia caused by rupture of gastroduodenal artery pseudoaneurysm, a delayed complication of laparoscopic cholecystectomy: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Kurniawan Kurniawan ◽  
I Dewa Nyoman Wibawa ◽  
Gde Somayana ◽  
I Ketut Mariadi ◽  
I Made Mulyawan
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Gastrointestinal Bleeding ◽  
Abdominal Trauma ◽  
Upper Gastrointestinal Bleeding ◽  
Rare Complication ◽  
Gastroduodenal Artery ◽  
Time Interval ◽  
Artery Pseudoaneurysm ◽  
History Of ◽  
Upper Gastrointestinal

Abstract Background Hemobilia is a rare cause of upper gastrointestinal bleeding that originates from the biliary tract. It is infrequently considered in diagnosis, especially in the absence of abdominal trauma or history of hepatopancreatobiliary procedure, such as cholecystectomy, which can cause arterial pseudoaneurysm. Prompt diagnosis is crucial because its management strategy is distinct from other types of upper gastrointestinal bleeding. Here, we present a case of massive hemobilia caused by the rupture of a gastroduodenal artery pseudoaneurysm in a patient with a history of laparoscopic cholecystectomy 3 years prior to presentation. Case presentation A 44-year-old Indonesian female presented to the emergency department with complaint of hematemesis and melena accompanied by abdominal pain and icterus. History of an abdominal trauma was denied. However, she reported having undergone a laparoscopic cholecystectomy 3 years prior to presentation. On physical examination, we found anemic conjunctiva and icteric sclera. Nonvariceal bleeding was suspected, but esophagogastroduodenoscopy showed a blood clot at the ampulla of Vater. Angiography showed contrast extravasation from a gastroduodenal artery pseudoaneurysm. The patient underwent pseudoaneurysm ligation and excision surgery to stop the bleeding. After surgery, the patient’s vital signs were stable, and there was no sign of rebleeding. Conclusion Gastroduodenal artery pseudoaneurysm is a rare complication of laparoscopic cholecystectomy. The prolonged time interval, as compared with other postcholecystectomy hemobilia cases, resulted in hemobilia not being considered as an etiology of the gastrointestinal bleeding at presentation. Hemobilia should be considered as a possible etiology of gastrointestinal bleeding in patients with history of cholecystectomy, regardless of the time interval between the invasive procedure and onset of bleeding.

Late-type port-site recurrence of unexpected gallbladder carcinoma 11 years after laparoscopic cholecystectomy

2014 ◽  
Vol 7 (4) ◽  
pp. 304-307 ◽  
Author(s):  
Eiji Tsujita ◽  
Yasuharu Ikeda ◽  
Nao Kinjo ◽  
Ippei Uezu ◽  
Junko Matsuyama ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Gallbladder Carcinoma ◽  
Port Site ◽  
Late Type ◽  
Port Site Recurrence

POTT’S PUFFY TUMOR: A CASE REPORT

2020 ◽  
Vol 18 (Suppl.1) ◽  
pp. 93-96
Author(s):  
V. Stoyanov ◽  
D. Petkov ◽  
P. Bozdukova
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
Rare Complication ◽  
Frontal Bone ◽  
Frontal Sinusitis ◽  
Subperiosteal Abscess ◽  
Prompt Treatment ◽  
Pott’S Puffy Tumor ◽  
Intracranial Complications ◽  
Life Threatening

Pott’s puffy tumor (PPT) is a rare complication of sinusitis characterized by osteomyelitis of the frontal bone with subperiosteal abscess presenting as frontal swelling. It was first described by Sir Percival Pott in 1768 in relation to frontal head trauma. Later, it was established that this entity is more common in relation to frontal sinusitis (1). In this article we report a case of PPT in a 17-year-old boy. CT scan confirmed subperiosteal abscess. At surgery, the subperiosteal abscess was drained and sequestrectomy of the affected frontal bone was done. Broad-spectrum antibiotics were given for 4 weeks. The patient recovered without residual problems and has remained well. PPT is now relatively uncommon and early diagnosis and prompt treatment is necessary to avoid further intracranial complications, which can be life-threatening.

Frequency of port site infection following gall bladder removal through Epigastric vs Umbilical port.

2021 ◽  
Vol 28 (03) ◽  
pp. 277-281
Author(s):  
Bushra Shaikh ◽  
Imamuddin Baloch ◽  
Azhar Ali Shah ◽  
Abdul Sami Mirani ◽  
Parkash Lal Lund ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Gall Bladder ◽  
Wound Infection ◽  
Port Site ◽  
Site Infection ◽  
College Hospital ◽  
Medical College ◽  
Duration Of Surgery ◽  
Group A ◽  
Group B

Objective: To compare the frequency of port site wound infection following gall bladder removal through umbilical and epigastric port in laparoscopic cholecystectomy. Study Design: Randomized Control Trial. Setting: Surgical Unit 2, Ghulam Muhammad Mahar Medical College, hospital Sukkur. Period: 1st November 2019 to 30th October 2020. Material & Methods: All cases who underwent four port laparoscopic cholecystectomy were enrolled in two groups. All procedures were performed under general anesthesia. As the last event of surgery gall bladder was retrieved in a glove bag through umbilical port in group A and through epigastric port in group B, both under direct camera vision. Wound infection was considered if there was 3 to 5 grade of wound according to Southampton wound grading system (Figure-1) on 5th postoperative day. All demographics and outcome variables were recorded. Results: Age ranged from 20 to 60 years with mean age of 38.875±8.11 years, BMI 29.973±5.12 Kg/m2, duration of surgery 50.656±8.41 mins and Southampton score was 1.044±1.07 in Group A and mean age of 38.560±6.23 years, BMI 27.437±5.04 Kg/m2, duration of surgery 48.920±8.67 mins and Southampton score was 0.856±0.92 in Group B. In group A, 18 (5.7%)patients developed port site wound infection in contrast to 5 (1.6%) patients in group B (P= 0.006). Conclusion: We conclude that epigastric port retrieval of gall bladder following laparoscopic cholecystectomy results in less port site infection.

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