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Splenic Abscess after Sleeve Gastrectomy.

Rany Aoun1, Michel Gabriel1, Elias El Haddad2

  • 1Department of Digestive Surgery, Hotel Dieu de France Hospital, University Saint Joseph Medical School, Beirut, Lebanon.

Case Reports in Medicine
|April 25, 2020
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Summary
This summary is machine-generated.

Splenic abscess is a rare complication following laparoscopic sleeve gastrectomy (LSG). This case report highlights successful conservative management including antibiotics and drainage for this serious condition.

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Area of Science:

  • Gastroenterology and Surgical Innovation
  • Bariatric Surgery Complications
  • Infectious Disease Management

Background:

  • Laparoscopic sleeve gastrectomy (LSG) is a common bariatric procedure.
  • Splenic abscess is an exceptionally rare but serious complication post-LSG.
  • Early diagnosis and appropriate management are crucial for patient outcomes.

Observation:

  • A 21-year-old male developed a splenic abscess three weeks after LSG.
  • Clinical symptoms included fever, leukocytosis, and abdominal pain.
  • Computed Tomography (CT) scan confirmed the splenic abscess diagnosis.

Findings:

  • The patient's splenic abscess was successfully treated conservatively.
  • Treatment involved intravenous antibiotics and percutaneous drainage.
  • This represents the thirteenth reported case of splenic abscess after LSG.

Implications:

  • Conservative management is a viable option for splenic abscess post-LSG.
  • Highlights the importance of considering splenic abscess in patients with relevant symptoms after LSG.
  • Contributes to the limited literature on managing this rare complication.