Spontaneous splenic rupture two days after laparoscopic sleeve gastrectomy
M Mertens1, L Verheyen1, J Ceulemans1
1Department of Abdominal Surgery, AZ Sint Maarten, Mechelen, Belgium.
Acta Chirurgica Belgica
|October 30, 2024
Summary
Splenic rupture is a rare complication after sleeve gastrectomy. This case report details the first instance of spleen-preserving surgery for this condition, offering a novel treatment approach.
Area of Science:
- Bariatric Surgery
- Surgical Complications
- Gastrointestinal Surgery
Background:
- Sleeve gastrectomy is a prevalent bariatric procedure for morbid obesity.
- Splenic rupture is an exceptionally rare complication following sleeve gastrectomy.
- Treatment options include splenectomy or spleen-preserving surgery.
Purpose of the Study:
- To report the sixth case of splenic rupture after sleeve gastrectomy.
- To describe the first instance of successful spleen-preserving surgery for this complication.
- To contribute to the literature on managing rare post-sleeve gastrectomy complications.
Main Methods:
- A literature search was conducted using the PubMed database.
- A case of a 42-year-old male patient who underwent sleeve gastrectomy is presented.
- The patient developed splenic rupture within 48 hours postoperatively and was treated with spleen-preserving surgery.
Main Results:
- Only five cases of splenic rupture post-sleeve gastrectomy have been previously documented.
- All previously reported cases were treated with splenectomy.
- This study presents the first successful spleen-preserving surgical intervention for this rare complication.
Conclusions:
- Spontaneous splenic rupture is a rare but serious complication of sleeve gastrectomy.
- Spleen-preserving surgery represents a viable and potentially preferable alternative to splenectomy.
- This case highlights the importance of considering conservative management options for splenic rupture post-sleeve gastrectomy.
