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袖状胃切除术后脾脓肿

Splenic Abscess after Sleeve Gastrectomy.

作者信息

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

机构信息

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.

出版信息

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

DOI:10.1155/2020/4850675
PMID:32328107
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7174958/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6d7/7174958/e292fc74107e/CRIM2020-4850675.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6d7/7174958/1ed429babddb/CRIM2020-4850675.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6d7/7174958/e3b0f57a09d0/CRIM2020-4850675.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6d7/7174958/e292fc74107e/CRIM2020-4850675.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6d7/7174958/1ed429babddb/CRIM2020-4850675.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6d7/7174958/e3b0f57a09d0/CRIM2020-4850675.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6d7/7174958/e292fc74107e/CRIM2020-4850675.003.jpg

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引用本文的文献

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2
Post-laparoscopic sleeve gastrectomy with splenic abscess: Case report.腹腔镜袖状胃切除术后并发脾脓肿:病例报告
Int J Surg Case Rep. 2023 Apr;105:108024. doi: 10.1016/j.ijscr.2023.108024. Epub 2023 Mar 22.
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Splenic abscess after laparoscopic sleeve gastrectomy. A rare complication-case report and literature review.

本文引用的文献

1
Delayed Intra Splenic Abscess: a Specific Complication Following Laparoscopic Sleeve Gastrectomy.延迟性脾内脓肿:腹腔镜袖状胃切除术后的一种特殊并发症。
Obes Surg. 2018 Feb;28(2):589-593. doi: 10.1007/s11695-017-3069-8.
2
Splenic abscess caused by following laparoscopic sleeve gastrectomy: a case report of a rare complication of bariatric surgery.腹腔镜袖状胃切除术后并发脾脓肿:一例肥胖症手术罕见并发症的病例报告
J Surg Case Rep. 2017 Apr 20;2017(4):rjx072. doi: 10.1093/jscr/rjx072. eCollection 2017 Apr.
3
Solid Organ Infections: Rare Complications After Laparoscopic Sleeve Gastrectomy: a Report of Four Cases.
腹腔镜袖状胃切除术后脾脓肿。罕见并发症——病例报告及文献综述。
J Surg Case Rep. 2021 Apr 29;2021(4):rjab042. doi: 10.1093/jscr/rjab042. eCollection 2021 Apr.
4
Splenic Abscess Following Sleeve Gastrectomy: A Systematic Review of Clinical Presentation and Management Methods.袖状胃切除术后脾脓肿:临床特征及处理方法的系统评价。
Obes Surg. 2021 Jun;31(6):2753-2761. doi: 10.1007/s11695-021-05396-9. Epub 2021 Apr 1.
实体器官感染:腹腔镜袖状胃切除术后的罕见并发症:4例报告
Obes Surg. 2017 May;27(5):1374-1380. doi: 10.1007/s11695-017-2609-6.
4
Nonsurgical management of multiple splenic abscesses in an obese patient that underwent laparoscopic sleeve gastrectomy: case report and review of literature.肥胖患者腹腔镜袖状胃切除术后多发脾脓肿的非手术治疗:病例报告及文献复习
Clin Case Rep. 2015 Oct;3(10):870-4. doi: 10.1002/ccr3.368. Epub 2015 Sep 7.
5
Delayed splenic abscess after laparoscopic sleeve gastrectomy.腹腔镜袖状胃切除术后延迟性脾脓肿
BMJ Case Rep. 2015 Feb 17;2015:bcr2014208057. doi: 10.1136/bcr-2014-208057.
6
Splenic abscess after sleeve gastrectomy: a report of two cases.袖状胃切除术后脾脓肿:两例报告。
Obes Facts. 2012;5(4):635-9. doi: 10.1159/000342805. Epub 2012 Sep 7.
7
[Splenic gangrene due to Streptococcus anginosus after a sleeve gastrectomy. Report of one case].[袖状胃切除术后因咽峡炎链球菌引起的脾坏疽。一例报告]
Rev Med Chil. 2010 Dec;138(12):1539-43. Epub 2011 Feb 7.
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Can J Surg. 2009 Aug;52(4):E91-E92.
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