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Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension
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Spontaneous Splenic Rupture Two Weeks After Sleeve Gastrectomy.
Mariam Sandal1, Bassem Abou Hussein2, Fatima Buti1
1General Surgery Department, Rashid Hospital-DHA, PO Box: 4545, Dubai, United Arab Emirates.
Obesity Surgery
|May 14, 2020
Summary
A rare splenic rupture occurred two weeks after sleeve gastrectomy, requiring splenectomy. This case highlights the importance of clinical suspicion for post-bariatric surgery complications.
Area of Science:
- Gastroenterology
- Surgical Complications
- Bariatric Surgery
Background:
- Sleeve gastrectomy is a common bariatric procedure with generally low complication rates.
- Splenic injury is a rare but serious complication associated with sleeve gastrectomy.
- Post-bariatric surgery complications require vigilant monitoring and prompt management.
Observation:
- A 32-year-old male presented with spontaneous splenic rupture two weeks after an uneventful sleeve gastrectomy.
- The patient required an emergency splenectomy due to the splenic rupture.
- This spontaneous rupture is an extremely rare event, with only one prior reported case.
Findings:
- Spontaneous splenic rupture following sleeve gastrectomy is exceptionally uncommon.
- Diagnosis necessitates a high degree of clinical suspicion.
- Splenectomy is often the required treatment if resuscitative measures are insufficient.
Implications:
- Physicians managing patients with post-bariatric complications must maintain a high index of suspicion for rare events.
- Early diagnosis and intervention are critical for improving patient outcomes after sleeve gastrectomy.
- Further investigations are needed to rule out other potential causes of splenic rupture in these cases.
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