An adapter for providing fluid communication with a tissue site may include a base, a conduit housing, a primary port, at least one ancillary port, and at least one port extension. The base may define a mounting plane having a first planar side and a second planar side opposite the first planar side. The conduit housing may be supported by the base and may include a recessed region defining an entry surface. The conduit housing and the recessed region may be positioned on the first planar side with the entry surface facing the first planar side. The primary port may be on the entry surface, and the at least one ancillary port may be on the entry surface. A distal end of the port extension may be positioned on the second planar side in fluid communication with the ancillary port. Other devices, systems, and methods are disclosed.