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[Splenic late infarction after laparoscopic gastrectomy: a case report].
Víctor Soriano-Giménez1, David Ruiz de Angulo-Martín1, Vicente Munítiz-Ruiz1
1Servicio Cirugía General y Aparato Digestivo, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, España.
Cirugia Y Cirujanos
|December 31, 2016
Summary
Laparoscopic sleeve gastrectomy can lead to rare complications like splenic infarction, even months after surgery. Conservative management is typically effective for this condition.
Area of Science:
- Bariatric Surgery
- Minimally Invasive Surgery
- Surgical Complications
Background:
- Laparoscopic gastrectomy is a common bariatric procedure for morbid obesity with low mortality rates.
- Potential complications include suture line dehiscence and splenic infarction.
- This case highlights a delayed presentation of splenic infarction post-laparoscopic gastrectomy.
Observation:
- A 45-year-old male with type 2 diabetes and microangiopathy underwent laparoscopic sleeve gastrectomy.
- One month post-surgery, he developed an intra-abdominal abscess treated with drainage.
- Nine months later, he presented with upper left quadrant pain and fever, diagnosed as splenic infarction via CT scan.
Findings:
- Splenic infarction is a less common complication of laparoscopic sleeve gastrectomy.
- It can present as a delayed complication, even up to 9 months post-operatively.
- Patients may experience fever and pain, but can often be managed conservatively.
Implications:
- Splenic infarction should be considered in patients with persistent fever and abdominal pain after laparoscopic gastrectomy, even long-term.
- Conservative treatment is usually sufficient, with splenectomy reserved for select cases.
- Awareness of this complication is crucial for timely diagnosis and management.
