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

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. T...

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Detalles Bibliográficos
Autores principales: Silva, Diogo, Alves, Alexandre, Almeida, Rui F, Nora, Mário
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Emergency Medicine
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10613099/
https://www.ncbi.nlm.nih.gov/pubmed/37900469
http://dx.doi.org/10.7759/cureus.46150
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author Silva, Diogo
Alves, Alexandre
Almeida, Rui F
Nora, Mário
author_facet Silva, Diogo
Alves, Alexandre
Almeida, Rui F
Nora, Mário
author_sort Silva, Diogo
collection PubMed
description 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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spelling pubmed-106130992023-10-29 Diffuse Peritonitis Caused by Splenic Abscess After Laparoscopic Sleeve Gastrectomy: A Case Report Silva, Diogo Alves, Alexandre Almeida, Rui F Nora, Mário Cureus Emergency Medicine 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. Cureus 2023-09-28 /pmc/articles/PMC10613099/ /pubmed/37900469 http://dx.doi.org/10.7759/cureus.46150 Text en Copyright © 2023, Silva et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Emergency Medicine
Silva, Diogo
Alves, Alexandre
Almeida, Rui F
Nora, Mário
Diffuse Peritonitis Caused by Splenic Abscess After Laparoscopic Sleeve Gastrectomy: A Case Report
title Diffuse Peritonitis Caused by Splenic Abscess After Laparoscopic Sleeve Gastrectomy: A Case Report
title_full Diffuse Peritonitis Caused by Splenic Abscess After Laparoscopic Sleeve Gastrectomy: A Case Report
title_fullStr Diffuse Peritonitis Caused by Splenic Abscess After Laparoscopic Sleeve Gastrectomy: A Case Report
title_full_unstemmed Diffuse Peritonitis Caused by Splenic Abscess After Laparoscopic Sleeve Gastrectomy: A Case Report
title_short Diffuse Peritonitis Caused by Splenic Abscess After Laparoscopic Sleeve Gastrectomy: A Case Report
title_sort diffuse peritonitis caused by splenic abscess after laparoscopic sleeve gastrectomy: a case report
topic Emergency Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10613099/
https://www.ncbi.nlm.nih.gov/pubmed/37900469
http://dx.doi.org/10.7759/cureus.46150
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AT almeidaruif diffuseperitonitiscausedbysplenicabscessafterlaparoscopicsleevegastrectomyacasereport
AT noramario diffuseperitonitiscausedbysplenicabscessafterlaparoscopicsleevegastrectomyacasereport

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