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Delayed splenic abscess after laparoscopic sleeve gastrectomy.

Yardesh Singh¹, Shamir Cawich², Imran Aziz²

¹Department of Clinical Surgical Sciences, University of the West Indies, St Augustine, Tobago.

BMJ Case Reports

|February 19, 2015

Summary

Splenic abscesses are a rare complication after sleeve gastrectomy. Early diagnosis using fever, left upper quadrant tenderness, and leukocytosis, confirmed by CT scans, is crucial for prompt treatment.

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Laparoscopic Radical Gastrectomy for Remnant Gastric Cancer

Laparoscopic Radical Gastrectomy for Remnant Gastric Cancer

Published on: October 31, 2025

Area of Science:

Gastroenterology and Surgical Innovation
Abdominal Surgery Complications
Medical Imaging in Post-Surgical Care

Background:

Sleeve gastrectomy is a common bariatric procedure.
Splenic abscesses are infrequent post-operative complications.
This study details a rare case of splenic abscess following sleeve gastrectomy.

Observation:

A 44-year-old male developed a splenic abscess 10 weeks post-sleeve gastrectomy.
Clinical presentation included vague symptoms: fever, left upper quadrant tenderness, and leukocytosis.
The triad of symptoms suggests potential splenic abscess.

Findings:

The case highlights the rarity of splenic abscess after sleeve gastrectomy, with this being the fourth reported instance.
Contrast-enhanced computed tomography (CT) scans are effective in diagnosing splenic abscesses.
Prompt investigation is warranted upon observing the characteristic symptom triad.

Implications:

Awareness of this rare complication is important for surgeons performing sleeve gastrectomies.
Early recognition and diagnosis via CT scans can lead to timely intervention.
This case contributes to understanding the spectrum of post-sleeve gastrectomy complications.