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切口部位结核——一种罕见的术后病症:病例报告

Port site tuberculosis a rare post operation entity: A case report.

作者信息

Rehman Ibad-Ur, Farooqui Fareeha, Waseem Sania, Lee Ka Yiu, Mamoon Nadira, Riaz Umar, Tahir Dawood, Latif Sehrish

机构信息

Shifa College of Medicine, Shifa Tameer e Millat University, Islamabad, Pakistan.

Shifa International Hospital, Islamabad, Pakistan.

出版信息

Ann Med Surg (Lond). 2022 Apr 29;78:103703. doi: 10.1016/j.amsu.2022.103703. eCollection 2022 Jun.

Abstract

Laparoscopic cholecystectomy is one of the most common procedures done worldwide. Post-surgical site infections are common, yet there are occurrences of uncommon complications, including port site tuberculosis (TB). We report a case of a 62-year-old man who was the victim of post-surgical site infection of port sites caused probably by improper sterilization. The patient lacked any common symptoms of tuberculosis and his initial lab investigations were not affirmative. A biopsy depicting the growth of multiple epithelioid granulomas finally led to the diagnosis of port site tuberculosis. The patient was treated by incision and drainage followed by anti-tubercular therapy. This treatment regime showed complete resolution of disease on follow-ups. Such cases require multidisciplinary team (Surgery, Pathology and Infectious disease department in our case) inputs for prompt diagnosis and treatment.

摘要

腹腔镜胆囊切除术是全球范围内最常见的手术之一。术后手术部位感染很常见,但也会出现罕见的并发症,包括穿刺孔部位结核。我们报告一例62岁男性患者,其穿刺孔部位术后手术部位感染可能是由于消毒不当所致。该患者没有任何常见的结核症状,其最初的实验室检查结果也不明确。一份显示多个上皮样肉芽肿生长的活检最终确诊为穿刺孔部位结核。患者接受了切开引流治疗,随后进行抗结核治疗。这种治疗方案在随访中显示疾病完全缓解。此类病例需要多学科团队(在我们的病例中是外科、病理科和感染病科)的参与,以便及时诊断和治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca02/9114458/56896e068484/gr1.jpg

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