What Causes A Dark Black Patch Near The Laparoscopic Gallbladder Incision Site?
There is a dark black patch of skin around the top puncture site ( near diaphragm) of laproscopic gall bladder operation. the operation happened 10 years back and the stitches were all healed. the skin around this site became darker and darker , spreading very slowly and now it's black. the area is around a coin size and there is no bump or any moles there, only the skin is black. Is there anything that we should be looking for.
Kindly upload an image
Hello. Thank you for writing to us.
I am D. kakkar(Dermatologist and Venereologist). I have noted your concern.
Perhaps the dark spot is due to post inflammatory hyperpigmentation (PIH) or a Fixed Drug Eruption(FDE). An image would help me analyse it better. You may upload a good quality image in "Reports Section". Are there any symptoms associated with the patch?
Regarding the skin concern around laproscopic scar.
Thank you. I have viewed the image.
There is obviously a slight identation/ depression/ shallow cavity/ crevice due to contracture of laparoscopic scar resulting in accumulation/ trapping of dead skin, hair and perhaps dried soap (used during bath). Moreover moisture and lack of proper cleaning, perhaps also a superimposed fungal infection together resulting in simmering inflammation over the years and postinflammatory hyperpigmentation leading to a clinical picture similar to an unclean umbilicus!!
I would suggest you to use a combination topical antibacterial, antifungal and a mild topical steroid preparation e g Neosporin ointment (polymyxin B and Neomycin and Bacitracin) and Cortisone cream (1% hydrocortisone) either used together or preferably an hour apart from each other.. Use twice daily. Clean the area daily yet gently after bath (when it would be moist) so that nothing remains pent up inside.. Do it daily for a few days.
Benign skin condition. Nothing serious
yes, it is curable. It requires care.