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Delayed Intra Splenic Abscess: a Specific Complication Following Laparoscopic Sleeve Gastrectomy
Fajer Nassour1, Naim Michel Schoucair1, Hadrien Tranchart1,2
1Department of Minimally Invasive Digestive Surgery, Antoine Beclere Hospital, AP-HP, 92140, Clamart, France.
Obesity Surgery
|December 18, 2017
Summary
Delayed intrasplenic abscess is a rare complication after laparoscopic sleeve gastrectomy (LSG). Partial splenic ischemia may play a role in the development of these late-occurring abscesses.
Area of Science:
- Gastroenterology
- Surgical Complications
- Minimal Invasive Surgery
Background:
- Delayed intrasplenic abscess is an exceptionally rare complication following laparoscopic sleeve gastrectomy (LSG).
- This condition presents with subtle clinical manifestations, making early diagnosis challenging.
Observation:
- Three cases of delayed intrasplenic abscess managed via minimal invasive surgery are presented.
- Two patients exhibited asymptomatic ischemic demarcation in the spleen's upper portion.
Findings:
- Intrasplenic abscesses post-LSG differ significantly from early, extra-splenic abscesses.
- Partial splenic ischemia is hypothesized as a contributing factor in late intrasplenic abscess formation.
- Transient immune suppression may further enhance the risk of abscess development.
Implications:
- The findings suggest a potential role for splenic ischemia in the pathogenesis of delayed intrasplenic abscesses after LSG.
- Further research is warranted to elucidate the exact causes and confirm the role of ischemia in these rare complications.
