Multiple port sites metastasis after laparoscopic cholecystectomy: a case report

Farhanul Huda; Sudhir K. Singh; Arvind Gupta; Navin Kumar

doi:10.18203/2349-2902.isj20175419

Authors

Farhanul Huda Department of Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
Sudhir K. Singh Department of Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
Arvind Gupta Department of Pathology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
Navin Kumar Department of Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India

DOI:

https://doi.org/10.18203/2349-2902.isj20175419

Keywords:

Gallbladder carcinoma, Laparoscopic cholecystectomy, Metastasis, Port site

Abstract

Laparoscopic cholecystectomy is a surgical procedure of choice for gall stone disease. Incidental gallbladder cancer is found in about 0.25-3% of patients after routine cholecystectomy. Depending on the stage of tumour, additional radical surgery may be required. In recent years, several reports of port site metastasis have been published. Here, we report a case of a 55-year-old female patient who presented to us with simultaneous multiple port sites metastasis after an interval of 15 months of laparoscopic cholecystectomy for gall stone disease. We recommend the routine use of specimen bag for the retrieval of gall bladder during laparoscopic cholecystectomy and also to send the gall bladder for histopathological examination. To the best of our knowledge, metastasis to more than one port is a very rare occurrence.

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