Tuberculous Surgical Site Infection Following Lateral Pancreaticojejunostomy: A Case Report

Chronic pancreatitis is commonly managed by lateral pancreaticojejunostomy. Common early complications post-procedure include abscess formation, upper gastrointestinal bleeding, drain tract infection, pancreatic fistula, transient fluid collection, and haematoma, whereas late complications can manif...

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Bibliographic Details
Main Authors: Somya Goel, Raju Shinde, Khushbu Vaidya, Ashish Jivani
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2025-08-01
Series:Journal of Clinical and Diagnostic Research
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Online Access:https://jcdr.net/article_fulltext.asp?issn=0973-709x&year=2025&month=August&volume=19&issue=8&page=PD05-PD07&id=21318
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Summary:Chronic pancreatitis is commonly managed by lateral pancreaticojejunostomy. Common early complications post-procedure include abscess formation, upper gastrointestinal bleeding, drain tract infection, pancreatic fistula, transient fluid collection, and haematoma, whereas late complications can manifest as recurrent pancreatitis, pain, cancer, re-intervention, and small bowel obstruction. Surgical Site Infection (SSI) is a common postoperative complication. We report a case of a 41-year-old male who presented with epigastric pain. He had a medical history of tuberculosis and was diagnosed with pancreatitis, subsequently managed by lateral pancreaticojejunostomy. However, a purulent discharge was observed at a two-week follow-up from the surgical site, which was later found to be Cartridge-Based Nucleic Acid Amplification Test (CBNAAT) positive, indicative of a relapse of latent mycobacterial infection. The patient was timely intervened upon and initiated on a medical regimen for the same. Latent presentation of tuberculosis was noted in this case.
ISSN:2249-782X
0973-709X