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Learning from Mistakes: Pancreatic Laceration: Devastating Complication During Spine Surgery.
Tushar Rathod1, Ashwin Sathe1, Shubhranshu S Mohanty1
1Department of Orthopaedics, Seth GS Medical College and KEM Hospital, Parel, Mumbai, India.
Posterior spinal surgery for tuberculosis can lead to rare complications like pancreatic injury. Vigilant postoperative monitoring and a multidisciplinary approach are crucial for managing such unexpected events.
Area of Science:
- Spine Surgery
- Surgical Complications
- Gastrointestinal Surgery
Background:
- Thoracolumbar tuberculosis often necessitates posterior decompression and fusion surgery due to vertebral body destruction.
- The friable nature of vertebral tissues in tuberculosis increases surgical risks.
Observation:
- An unusual complication occurred during posterior decompression and instrumentation for T10-11 spinal tuberculosis.
- An accidental slip of a surgical instrument led to a pancreatic laceration.
Findings:
- The patient developed severe abdominal pain and distention postoperatively.
- A computed tomography scan confirmed a traumatic pancreatic laceration.
Implications:
- Pancreatic injury should be considered in patients with acute abdominal discomfort after spinal surgery.
- Multidisciplinary care, intensive monitoring, and critical care are vital for managing unexpected surgical events.
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