Diffuse Peritonitis Caused by Splenic Abscess After Laparoscopic Sleeve Gastrectomy: A Case Report

Area of Science:

• Gastroenterology
• Surgical Oncology
• Abdominal Imaging

Background:

• Splenic abscess (SA) is a rare complication following sleeve gastrectomy (SG).
• It often presents as a manifestation of a gastric leak (GL).
• Clinical signs include fever, abdominal pain, leukocytosis, and elevated C-reactive protein.

Observation:

• Computed tomography (CT) scans are diagnostic for SA.
• CT findings may indicate gastric leak or diffuse peritonitis.
• A case of a 41-year-old female with SA, septic shock, and diffuse peritonitis post-SG is presented.

Findings:

• The patient with SA, septic shock, and diffuse peritonitis was successfully treated.
• Treatment involved a splenectomy performed three months after the sleeve gastrectomy.
• This case highlights a successful surgical intervention for a rare complication.

Implications:

• This case underscores the importance of considering SA in patients with SG complications.
• Prompt diagnosis and appropriate management, including surgical options like splenectomy, are vital.
• Further research into optimizing SA management post-SG may be warranted.