A sinus of sorrow.

Abstract

Abdominal wall sinuses occurring in the wounds that fail to heal are heard off. The most common causes have been retained sutures, foreign bodies or congenital causes. Various cases have been reported with the above being the causes. Here we have come across a case of sinus which was a diagnostic dilemma. A 25-year-old lady with no comorbidities presented to the outpatient department with history of small opening on the anterior abdominal wall, on and off since 4 years associated with scanty serous intermittent discharge. A sinogram was performed which showed the sinus to be superficial. Patient was planned for exploratory laparotomy and proceed. Intraoperatively the sinus was extending into the small bowel with a small out-pouching which histopathologically turned out to be Meckel’s diverticulum. This case was indeed a diagnostic dilemma and some new differential diagnosis that needs to be kept in mind when we come across abdominal wall sinus.