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A Murine Model of Vertical Sleeve Gastrectomy
Published on: December 18, 2017
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Pyogenic liver abscess after laparoscopic sleeve gastrectomy.
Hakan Demir1, Kayhan Ozdemir2, Kerem Karaman3
1Dr. Hakan Demir, Department of General Surgery, Sakarya University Teaching and Research Hospital, Sakarya, Turkey.
Pakistan Journal of Medical Sciences
|July 24, 2018
Summary
Pyogenic liver abscesses can occur after laparoscopic sleeve gastrectomy (LSG) due to infection spreading from hematoma or leaks. This case shows successful treatment with drainage and antibiotics, highlighting a rare but manageable complication.
Area of Science:
- Gastroenterology
- Hepatology
- Surgical Complications
Background:
- Laparoscopic sleeve gastrectomy (LSG) is a common bariatric procedure.
- Infection in the gastrosplenic area post-LSG can lead to pyogenic liver abscess.
- Hematoma or staple line leaks are potential sources of infection spread.
Observation:
- A 37-year-old female developed a unilocular pyogenic liver abscess two weeks after LSG.
- The patient presented with symptoms indicative of a liver abscess.
Findings:
- The pyogenic liver abscess was successfully treated with ultrasound-guided percutaneous drainage.
- Intravenous antibiotic therapy was administered concurrently with drainage.
- Literature review identified 3 additional cases of liver abscess post-LSG.
Implications:
- Early diagnosis and prompt intervention are crucial for managing pyogenic liver abscesses after LSG.
- Percutaneous drainage combined with antibiotics offers an effective treatment strategy.
- Awareness of this rare complication is important for surgeons performing LSG.
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