袖状胃切除术后脾脓肿

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

Department of Digestive Surgery, Hotel Dieu de France Hospital, University Saint Joseph Medical School, Beirut, Lebanon.

Department of Radiology, Hotel Dieu de France Hospital, University Saint Joseph Medical School, Beirut, Lebanon.

Case Rep Med. 2020 Apr 12;2020:4850675. doi: 10.1155/2020/4850675. eCollection 2020.

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.

脾脓肿是腹腔镜袖状胃切除术（LSG）一种非常罕见的并发症。临床表现包括发热、白细胞增多和腹痛。CT扫描是诊断的必需手段。首选治疗方法要么是保守治疗，即静脉注射抗生素和经皮引流，要么是脾切除术。我们报告了13例LSG术后脾脓肿病例。在我们的患者中，脓肿发生在一名21岁男性接受LSG术后三周，通过保守治疗成功治愈。