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Post-laparoscopic sleeve gastrectomy with splenic abscess: Case report.

Ahmed Alzahrani¹, Maha M Islami², Esam Batayyah³

¹Department of General Surgery, King Fahd General Hospital, Jeddah 23325, Saudi Arabia.

International Journal of Surgery Case Reports

|April 7, 2023

Summary

Splenic abscess is a rare complication following laparoscopic sleeve gastrectomy (LSG). This case highlights diagnostic challenges and a unique laparoscopic approach for managing this rare post-surgical complication.

Keywords:

Bariatric surgery complications Case report Laparoscopic sleeve gastrectomy Post-laparoscopic sleeve gastrectomy Sleeve gastrectomy complications Splenic abscess

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Area of Science:

Gastroenterology
Surgical Complications
Abdominal Imaging

Background:

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

Observation:

A 62-year-old male presented with fever and abdominal pain three weeks after LSG.
Initial symptoms mimicked common complications like leaks or infections.
CT scan confirmed a splenic abscess, a rare finding.

Findings:

The etiology of the splenic abscess in this case remains unclear, differing from typical late-leak hypotheses.
Standard diagnostic approaches may be insufficient for rare complications.
Laparoscopic exploration with incision and drainage was the chosen treatment.

Implications:

This case underscores the diagnostic difficulties posed by rare post-LSG complications.
Management strategies for rare splenic abscesses may require deviation from standard protocols.
Highlighting alternative surgical approaches can improve patient outcomes.