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Severe peritonitis due to Streptococcus viridans following adjustable gastric banding

Chia-Che Chen1, Ming-Te Huang, Po-Li Wei

  • 1Departments of Surgery, Taipei Medical University Hospital, No. 252 Wu-Hsing St, Taipei, Taiwan, 110, Republic of China.

Obesity Surgery
|December 17, 2009
PubMed

Insights

Late intra-abdominal infections after gastric banding are rare. This case highlights a severe peritonitis caused by Streptococcus viridans five years post-laparoscopic gastric banding surgery.

Area of Science:

  • Gastroenterology
  • Infectious Diseases
  • Surgical Complications

Background:

  • Late postoperative intra-abdominal infections are rare after laparoscopic gastric banding.
  • The spectrum of pathogens is diverse, influenced by infection origin.
  • Streptococci, particularly Streptococcus viridans, are common in peritoneal dialysis peritonitis.

Purpose of the Study:

  • To report a rare case of severe peritonitis due to Streptococcus viridans.
  • To highlight a late complication following adjustable gastric banding.
  • To discuss the implications for diagnosing and managing rare infections post-bariatric surgery.

Main Methods:

  • Case report of a 38-year-old male patient.
  • Review of medical history and postoperative course.
  • Microbiological analysis of peritoneal fluid.

Main Results:

  • The patient presented with severe peritonitis 5 years after an uneventful laparoscopic gastric banding.
  • Infection was caused by Streptococcus viridans, a rare pathogen in this context.
  • The patient was non-uremic, differentiating from typical peritonitis causes.

Conclusions:

  • Peritonitis due to Streptococcus viridans is exceptionally rare after adjustable gastric banding.
  • Late-onset infections should be considered in patients with a history of gastric banding, even years after surgery.
  • Prompt diagnosis and appropriate antimicrobial therapy are crucial for managing such rare complications.

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