A Case of Postoperative Intra-abdominal Fungal Granuloma Caused by Candida Albicans

Key Points

• To describe a rare case of postoperative intra-abdominal fungal granuloma caused by Candida albicans.
• A 74-year-old woman underwent distal pancreatectomy for suspected pancreatic cancer.
• Postoperative complications included an infection and subsequent identification of Candida albicans through drainage culture.
• A granuloma resection was performed 153 days post-surgery after clinical signs developed.
• Drainage culture on postoperative day 44 detected Candida albicans, with elevated beta-D-glucan levels.
• The patient exhibited improvement following surgical excision of the granuloma, with normal beta-D-glucan levels after two weeks.
• No recurrence of candidiasis was noted post-treatment.