Port site missed stones presenting as chronically discharging sinus

Abstract

Recurrent discharging sinus of the port site after laparoscopic Cholecystectomy is an uncommon complication of spilled, missed gall stones. The chronically discharging sinus may mimic atypical mycobacterial infection of the port site or neoplasm. High index of suspicion must be maintained to diagnose this rare complication of port sites due to missed stones while retrieving the gall bladder specimen through the port openings. Port site complications not only add to the stress and morbidity to the patient, but also undermine the benefits of minimal invasive surgery. Awareness of this entity is important in order to develop preventive protocol, in future.