Humenansky Kayla M, Kopicky Lauren, Opoku-Agyeman Jude Leo, Martinez Carlos G
Department of General Surgery, Arnot Ogden Medical Center, 600 Roe Ave., Elmira, New York, NY, USA.
Department of General and Bariatric Surgery, Arnot Ogden Medical Center, 600 Roe Ave., Elmira, New York, NY, USA.
J Surg Case Rep. 2017 Oct 27;2017(10):rjx209. doi: 10.1093/jscr/rjx209. eCollection 2017 Oct.
Splenic injury is a rare but serious complication of bariatric surgical procedures. Given that the need for dissection of the gastrosplenic ligament during bariatric surgical procedures, splenic injury is not unfathomable. While most subcapsular splenic hematomas may be self-limiting, continued expansion may result in splenic rupture and should, therefore, be handled with great care. With the growing rate of bariatric surgical procedures worldwide, inadvertent intra-operative splenic injury may become a more prevalent surgical complication. We report that the first documented case of subcapsular hematoma and associated gas collection following laparoscopic sleeve gastrectomy, as well as, a proposed mechanism for the radiographic findings and potential complications.
脾损伤是减重手术中一种罕见但严重的并发症。鉴于在减重手术过程中需要解剖胃脾韧带，脾损伤并非不可想象。虽然大多数脾包膜下血肿可能会自行局限，但持续扩大可能导致脾破裂，因此应谨慎处理。随着全球减重手术率的不断上升，术中意外的脾损伤可能会成为一种更普遍的手术并发症。我们报告了首例腹腔镜袖状胃切除术后有记录的脾包膜下血肿及相关气体积聚病例，以及对影像学表现和潜在并发症的一种推测机制。
