Curious Case of Non-Healing A bdominal Wound
Authors
Dr. Sanjay ChatterjeeFiles
Key Information
Journal
Published in Vol. 67 No. 2 (2025) of Bombay Hospital Journal.
Bombay Hospital Journal (BHJ) is a peer-reviewed quarterly published Print and Online journal. It is an official Journal of Bombay Hospital institute of medical sciences. The aim of BHJ is to improve medical care by publishing sound scientific articles (both research and practice papers) and focusing on topics that are of great importance to its readership.
Editor-in-Chief- Dr Satish Vasant Khadilkar
About the JournalAbstract
ABSTRACT
Port-site complications following laparoscopic surgery are uncommon but can present diagnostic and therapeutic challenges. Among
these, a persistent port-site sinus is a rare occurrence, often resulting from chronic infection, retained foreign material, or atypical
organisms. Early recognition and appropriate management are essential to prevent prolonged morbidity.
We report the case of a 33 year-old female who developed a chronic discharging sinus at the left lower port site following a
laparoscopic myomectomy performed 1 year earlier. The patient presented with intermittent seropurulent discharge, local tenderness,
and non-healing despite multiple courses of antibiotics. MRI imaging suggested Three sinus tracts are seen in the subcutaneous
plane of the lower anterior abdominal wall on the left side in relation to the skin defects and in association with the cellulitis.
Surgical exploration revealed three sinus tracts in left side of anterior abdominal wall is s/c plane. Histopathology showed
chronic pyogenic sinus and NTM culture report confirms presence of NON TUBERCULOUS MYCOBACTERIA . The patient
recovered uneventfully with complete healing at follow-up
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