scholarly journals Splenic Abscess after Sleeve Gastrectomy

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Rany Aoun ◽  
Michel Gabriel ◽  
Elias El Haddad ◽  
Roger Noun ◽  
Ghassan Chakhtoura
Keyword(s):  
Abdominal Pain ◽  
Sleeve Gastrectomy ◽  
Ct Scan ◽  
Laparoscopic Sleeve Gastrectomy ◽  
Percutaneous Drainage ◽  
Clinical Presentation ◽  
Rare Complication ◽  
Splenic Abscess ◽  
Intravenous Antibiotics

Splenic abscess is a very rare complication of laparoscopic sleeve gastrectomy (LSG). Clinical presentation includes fever, leucocystosis, and abdominal pain. CT SCAN is a must for diagnosis. The preferred treatment is either conservative, with intravenous antibiotics and percutaneous drainage, or splenectomy. We report the thirteen case of a splenic abscess after LSG. In our patient, the abscess occurred three weeks after LSG in a 21-year-old man, and it was successfully treated conservatively.

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

2021 ◽  
Vol 2021 (4) ◽  
Author(s):  
Esam Batayyah ◽  
Waed Yaseen ◽  
Faris Alshareef
Keyword(s):  
Computed Tomography ◽  
Sleeve Gastrectomy ◽  
Laparoscopic Sleeve Gastrectomy ◽  
Clinical Presentation ◽  
Rare Complication ◽  
Splenic Abscess ◽  
Definitive Treatment ◽  
Gastric Fistula ◽  
Upper Gastrointestinal ◽  
Prompt Diagnosis

Abstract 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.

scholarly journals 782 A Rare Complication in A Post-Operative Bariatric Patient: COVID-19 Induced Mesenteric Venous Thrombosis

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
J Winstanley ◽  
M Goodfellow
Keyword(s):  
Gastric Bypass ◽  
Abdominal Pain ◽  
Ct Scan ◽  
Acute Abdominal Pain ◽  
Myeloproliferative Neoplasms ◽  
Rare Complication ◽  
Nasopharyngeal Swab ◽  
Thrombotic Complications ◽  
Tract Infections ◽  
Mesenteric Thrombosis

Abstract Introduction The emergence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has provided enormous challenges in the delivery of surgical care. In addition to respiratory tract infections, coronavirus disease 2019 (COVID-19) is associated with both arterial and venous thrombotic complications. Case Details: We present a case of acute superior mesenteric venous (SMV) thrombosis in a 36-year-old female patient who underwent Roux-en-Y gastric bypass three years previously. Her presentation with acute abdominal pain occurred 6 days after a positive nasopharyngeal swab. An admission CT scan demonstrated an abrupt cut off in the proximal SMV with resultant small bowel oedema. Subsequent thrombophilia screening and mutation testing for myeloproliferative neoplasms were all negative. She had also previously carried three pregnancies to term without any thrombotic complications. Hence, the high suspicion of acute COVID-19 induced mesenteric thrombosis. Conclusions In patients who have previously undergone Rouy-en-Y gastric bypass and lost significant weight, acute abdominal pain normally raises a high suspicion of internal hernia. However, as the pandemic progresses surgeons need to be mindful of COVID-19 induced mesenteric thrombosis as a differential diagnosis during the workup of acute abdominal pain. This was well demonstrated on a CT scan with intravenous contrast.

Leakage Risk Stratification After Laparoscopic Sleeve Gastrectomy (LSG): Is There a Role for Routine Postoperative CT Scan?

2020 ◽  
Vol 30 (9) ◽  
pp. 3370-3377
Author(s):  
Diego Palumbo ◽  
Carlo Socci ◽  
Carlo Martinenghi ◽  
Giorgia Guazzarotti ◽  
Riccardo Leone ◽  
...  
Keyword(s):  
Sleeve Gastrectomy ◽  
Risk Stratification ◽  
Ct Scan ◽  
Laparoscopic Sleeve Gastrectomy

scholarly journals Colonoscopic Splenic Injury: A Simplified Radiologic Approach

2016 ◽  
Vol 2016 ◽  
pp. 1-4
Author(s):  
Tara Chen ◽  
Qiu Tong ◽  
Alexander Kurchin
Keyword(s):  
Abdominal Pain ◽  
Ct Scan ◽  
Large Bowel ◽  
Therapeutic Approach ◽  
Splenic Injury ◽  
Rare Complication ◽  
Diagnosis And Treatment ◽  
Bowel Diseases

Colonoscopy is a commonly performed procedure for diagnosis and treatment of large bowel diseases. Recognized complications include bleeding and perforation. Splenic injury during colonoscopy is a rare complication. We report a case of a 73-year-old woman who presented with left-sided abdominal pain after colonoscopy with finding of splenic injury on CT scan. She was managed conservatively. We discuss the diagnostic and therapeutic approach to colonoscopic splenic injury.

Small Bowel Perforations by Metallic Grill Brush Bristles: Clinical Presentations and Opportunity for Prevention

2016 ◽  
Vol 82 (5) ◽  
pp. 412-415 ◽  
Author(s):  
Salvador Sordo ◽  
Travis L. Holloway ◽  
Russell L. Woodard ◽  
Bruce E. Conway ◽  
Lillian F. Liao ◽  
...  
Keyword(s):  
Risk Factors ◽  
Abdominal Pain ◽  
Small Bowel ◽  
Ct Scan ◽  
Chart Review ◽  
Clinical Presentation ◽  
Home Visits ◽  
Alternative Methods ◽  
Clinical Presentations ◽  
Unusual Injury

Increasing reports on the incidental ingestion of metallic bristles from barbeque grill cleaning brushes have been reported. We sought to describe the clinical presentation and grilling habits of patients presenting after ingesting metallic bristles in an attempt to identify risk factors. We performed a chart review of six patients with documented enteric injury from metallic bristles. Subjects were contacted and administered a survey focused on the events surrounding the bristle ingestion. We arranged for in-home visits to inspect the grill and grill brush whenever possible. Of the six subjects identified, three (50%) were male, five (83%) were white, and they ranged in age from 18 to 65 years (mean 42.5). All complained of abdominal pain. All bristles were identified by CT scan. Three patients underwent laparoscopic enterorrhaphy, and two underwent laparotomy. The remaining patients did not require intervention. None had replaced their grill brush in at least two years. Surgeon's awareness of this unusual injury is important to identify and manage this problem. Alternative methods to clean the grill should be sought and grill brushes should be replaced at least every two years.

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