Nonsurgical management of multiple splenic abscesses in an obese patient that underwent laparoscopic sleeve gastrectomy: case report and review of literature

Abstract

Key Clinical MessageSleeve gastrectomy (SG) is a surgical weight-loss procedure. Splenic abscess is a rare complication of SG. Four cases of splenic abscess after SG have been reported, all managed by surgical intervention. We report the first documented case of multiple splenic abscesses following SG managed conservatively by an integrated medical treatment.

Splenic Abscess after Sleeve Gastrectomy

“…Splenic abscess after LSG is a very rare condition, and the literature enumerates twelve patients who experienced this condition (Table 1) [1][2][3][4][5][6][7][8]. e mechanism of formation of splenic abscess described by the previous authors include iatrogenic splenic injury during surgery, splenic ischemia after LSG, extension from a gastric staple-line leak, and temporary immune suppression in the immediate postoperative course.…”

“…We report the case of a patient who underwent LSG, complicated three weeks after surgery by a splenic abscess. And to the best of our knowledge, there were only twelve cases reported in the literature [1][2][3][4][5][6][7][8].…”

Splenic Abscess: A Rare Complication of Sleeve Gastrectomy: A Case Report and literature Review.

“…The signs and symptoms of splenic abscess are nonspecific and include the triad of fever, left upper quadrant tenderness, and leukocytosis [22,23]. Its rarity and the nonspecific clinical presentation could make the diagnosis difficult and could be easily confused with leakage and subdiaphragmatic abscess [2].…”

Splenic abscess caused by Streptococcus anginosus following laparoscopic sleeve gastrectomy: a case report of a rare complication of bariatric surgery

“…[ 3 ] 35/F – No 75 IV antibiotics, percutaneous and laparoscopic drainage No Staphylococcus spp., Enterobacter cloacae, Streptococcus mitis and oralis Avulov et al [ 2 ] 19/M No No 14 IV antibiotics, percutaneous drainage, splenectomy No Salmonella spp. Schiavo et al [ 5 ] 26/M – No 77 IV antibiotics, percutaneous drainage No S. anginosus Singh et al [ 6 ] 44/M No No 70 IV antibiotics, percutaneous drainage, splenectomy No Klebsiella pneumoniae, Streptococcus pneumoniae, Acinetobacter spp. Current study, 2016 45/F No No 20 IV antibiotics, percutaneous drainage No S. anginosus …”