A Case Of Hepato-Gastro Cutaneous Fistula

Abstract

The incidence of the hepato-gastro cutaneous fistula is 0.02-0.21% and is the 6th most common type of extrapulmonary tuberculosis. A 35year old female patient presented to the outpatient Department of General Surgery in tertiary care hospital in Western India with complaints of pain in the upper abdomen for 2 months associated with watery discharge from the wound present over the midline scar. The local examination was evident of ~7cm midline supraumbilical scar 0.5*0.5cm sinus noted at the caudal end of the scar, and minimal sero-purulent discharge was present. The diagnosis was confirmed by USG, CT scan, and gastroscopy. The tract was incised in-toto and sent for HPE and CBNAAT. The diagnosis was confirmed by CBNAAT. Later the patient was started on anti-tubercular drugs category DSTB-CP (A) for 6 months. Post suture removal- a healthy scar was present with no discharge.