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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JCDR Research and Publications Private Limited
2025-08-01
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| 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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| author | Somya Goel Raju Shinde Khushbu Vaidya Ashish Jivani |
| author_facet | Somya Goel Raju Shinde Khushbu Vaidya Ashish Jivani |
| author_sort | Somya Goel |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-dbda1e16cc5742a695ac8ef2af39cae5 |
| institution | Kabale University |
| issn | 2249-782X 0973-709X |
| language | English |
| publishDate | 2025-08-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj-art-dbda1e16cc5742a695ac8ef2af39cae52025-08-20T04:02:01ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2025-08-01198PD05PD0710.7860/JCDR/2025/79611.21318Tuberculous Surgical Site Infection Following Lateral Pancreaticojejunostomy: A Case ReportSomya Goel0Raju Shinde1Khushbu Vaidya2Ashish Jivani3Junior Resident, Department of Surgery, Datta Meghe Institute of Higher Education and Research, Wardha, Maharashtra, India.Professor and Head, Department of Surgery, Datta Meghe Institute of Higher Education and Research, Wardha, Maharashtra, India.Junior Resident, Department of Surgery, Datta Meghe Institute of Higher Education and Research, Wardha, Maharashtra, India.Junior Resident, Department of Surgery, Datta Meghe Institute of Higher Education and Research, Wardha, Maharashtra, India.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.https://jcdr.net/article_fulltext.asp?issn=0973-709x&year=2025&month=August&volume=19&issue=8&page=PD05-PD07&id=21318chronic pancreatitislatent tuberculosis infectionmycobacterium tuberculosispostoperative complicationspurulent dischargeserous dischargesurgical site infections |
| spellingShingle | Somya Goel Raju Shinde Khushbu Vaidya Ashish Jivani Tuberculous Surgical Site Infection Following Lateral Pancreaticojejunostomy: A Case Report Journal of Clinical and Diagnostic Research chronic pancreatitis latent tuberculosis infection mycobacterium tuberculosis postoperative complications purulent discharge serous discharge surgical site infections |
| title | Tuberculous Surgical Site Infection Following Lateral Pancreaticojejunostomy: A Case Report |
| title_full | Tuberculous Surgical Site Infection Following Lateral Pancreaticojejunostomy: A Case Report |
| title_fullStr | Tuberculous Surgical Site Infection Following Lateral Pancreaticojejunostomy: A Case Report |
| title_full_unstemmed | Tuberculous Surgical Site Infection Following Lateral Pancreaticojejunostomy: A Case Report |
| title_short | Tuberculous Surgical Site Infection Following Lateral Pancreaticojejunostomy: A Case Report |
| title_sort | tuberculous surgical site infection following lateral pancreaticojejunostomy a case report |
| topic | chronic pancreatitis latent tuberculosis infection mycobacterium tuberculosis postoperative complications purulent discharge serous discharge surgical site infections |
| url | https://jcdr.net/article_fulltext.asp?issn=0973-709x&year=2025&month=August&volume=19&issue=8&page=PD05-PD07&id=21318 |
| work_keys_str_mv | AT somyagoel tuberculoussurgicalsiteinfectionfollowinglateralpancreaticojejunostomyacasereport AT rajushinde tuberculoussurgicalsiteinfectionfollowinglateralpancreaticojejunostomyacasereport AT khushbuvaidya tuberculoussurgicalsiteinfectionfollowinglateralpancreaticojejunostomyacasereport AT ashishjivani tuberculoussurgicalsiteinfectionfollowinglateralpancreaticojejunostomyacasereport |