eISSN: 2299-0054
ISSN: 1895-4588
Videosurgery and Other Miniinvasive Techniques
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SCImago Journal & Country Rank
2/2017
vol. 12
 
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abstract:
Case report

Abdominal tuberculosis after removal of an adjustable gastric band – report of an unusual case

Piotr K. Kowalewski
,
Robert Olszewski
,
Dariusz Michalik
,
Andrzej P. Kwiatkowski

Videosurgery Miniinv 2017; 12 (2): 186–188
Online publish date: 2017/04/11
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Laparoscopic adjustable gastric banding (LAGB) is the third most popular bariatric procedure. Despite its reversibility and minimal invasiveness, band infection affects 1.2% of patients. We present a case of a 25-year-old, obese woman who was experiencing malaise and feverishness 3 years after gastric band placement. Due to port site infection the port was removed, which did not improve the patient’s condition. After 2 years the band was removed via laparotomy with a minor surgical site infection reported. The patient returned 2 weeks after discharge with signs of sepsis. After ruling out pulmonary causes, an exploratory laparotomy was performed, revealing granulomatous peritonitis. Standard histopathological examinations, broncho-alveolar lavage culture and DNA tests along with microbiological cultures were inconclusive. Broad-spectrum antibiotics and antifungal and antiparasitic agents did not improve the patient’s condition. Mycobacterium tuberculosis DNA was discovered in a greater omentum specimen. The patient was treated with isoniazid, rifampicin, pyrazinamide and streptomycin for four months.
keywords:

bariatric surgery, infection, tuberculosis, case report, laparoscopic adjustable gastric banding, gastric band

  
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