Splenic Abscess after Sleeve Gastrectomy

Aoun, Rany; Gabriel, Michel; El-Haddad, Elias; Noun, Roger; Chakhtoura, Ghassan

doi:10.1155/2020/4850675

Cited by 6 publications

(5 citation statements)

References 10 publications

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“…A splenic abscess after SG is a rare condition, and there are fewer than 15 case reports in the literature [ 4 ]. There are multiple mechanisms described for SA formation following SG.…”

Section: Discussionmentioning

confidence: 99%

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

Silva,

Alves,

Almeida

et al. 2023

Cureus

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A splenic abscess (SA) following sleeve gastrectomy (SG) is a rare manifestation of a gastric leak (GL). The clinical findings include fever, abdominal pain, leukocytosis, and an elevated C-reactive protein. A computed tomography scan is diagnostic and can show signs of GL, or diffuse peritonitis. Treatment can either be non-operative (including large-spectrum antibiotics and percutaneous drainage) or surgical (including splenectomy). We present the case of a 41-year-old female patient with SA, with septic shock and diffuse peritonitis, successfully treated with a splenectomy three months post-SG.

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“…A splenic abscess after SG is a rare condition, and there are fewer than 15 case reports in the literature [ 4 ]. There are multiple mechanisms described for SA formation following SG.…”

Section: Discussionmentioning

confidence: 99%

“…However, a gastric leak (GL) is one of its most serious and feared complications, and it can occur in up to 2.4% of cases [ 3 ]. Moreover, in the literature, there are several case reports related to splenic abscesses (SAs) caused by GL after SG [ 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

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

Silva,

Alves,

Almeida

et al. 2023

Cureus

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“…It was reported after some gastric procedures like Nissen fundoplication and gastrectomy for cancer. It is also because of the sequela of post-LSG leak and formation of a splenic abscess, as it was reported in 13 cases in English literature [ 2–10 ].…”

Section: Discussionmentioning

confidence: 99%

“…Splenic abscess formation was a result of 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 as described by the previous authors [ 2–10 ].…”

Section: Discussionmentioning

confidence: 99%

Splenic abscess after laparoscopic sleeve gastrectomy. A rare complication—case report and literature review

Batayyah¹,

Yaseen²,

Alshareef

2021

Journal of Surgical Case Reports

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Laparoscopic sleeve gastrectomy is currently a stand-alone bariatric procedure with a low complication profile. A rare complication of leak following sleeve gastrectomy was reported in this study. Its rareness and nonspecific clinical presentation could make the diagnosis difficult and could be easily confused with leak and subdiaphragmatic abscess. A 22-year-old Saudi female with body mass index 41 underwent laparoscopic sleeve gastrectomy in 2017, presented 18 months later to emergency department complaining of fever and abdominal pain for 3 months prior to presentation. Computed tomography of abdomen revealed a large splenic abscess, upper gastrointestinal studies were unremarkable. Patient was taken for laparoscopic exploration with finding of splenic abscess and gastric fistula, splenectomy and clipping of fistula was performed. The management of splenic abscess remains controversial. Splenectomy and antibiotics have generally been the definitive treatment particularly with large multilobulated collection. Familiarity with the rare complications as splenic abscess will allow for a prompt diagnosis and treatment.

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“…The referencing order of the relevant studies included in Table 2 starts from the most recently published articles first. [18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36] Grading of the reviewed evidence was based on the content of Table 3. Statistical difference significance was considered to be at P ≤ .05.…”

Section: Methodsmentioning

confidence: 99%

Splenic Abscess Complicating Bariatric Surgery : A Systematic Review

Buksh

Tallowin

Samaraee

2021

The American Surgeon™

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Introduction Bariatric surgery has become one of the most rapidly growing subspecialty performed globally, and it has been well reported to be associated with low morbidity and mortality rates. Splenic abscess is a rare but serious complication of bariatric surgery that has not been previously systematically reviewed in the literature. Methods The authors have performed a systematic review of the evidence that has looked into the pathophysiology, clinical presentation, and the management options of splenic abscess complicating bariatric surgery. Results This systematic review has been unsurprisingly based on level-IV evidence due to the rarity of the explored condition. The final analysis included 27 relevant reported cases. The mean age was 38 years and the mean of the time interval between the initial operation and developing splenic abscess was 72 days, with the male to female ratio being 1:1.6. Laparoscopic sleeve gastrectomy was the initial operation in 85.2% of the patients. Nearly half of the patients did not have an objective evidence of local or systemic sepsis that could explain the abscess formation. Nonsurgical management was attempted in 14 patients, with 34% success rate only. Splenectomy was needed in 41.7% of the patients. No mortality was reported. Conclusions Splenic abscess is a rare and rather late but serious complication of bariatric surgery that could result in splenectomy in a relatively young group of patients. It is more commonly reported following laparoscopic sleeve gastrectomy. Early diagnosis with intervention in a timely manner is crucial to avoid life threatening complications.

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Splenic Abscess after Sleeve Gastrectomy

Cited by 6 publications

References 10 publications

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

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

Splenic abscess after laparoscopic sleeve gastrectomy. A rare complication—case report and literature review

Splenic Abscess Complicating Bariatric Surgery : A Systematic Review

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