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化脓性肝脓肿:胃袖状切除术罕见并发症的病例报告及文献综述

Pyogenic Hepatic Abscess: A Case Report and Literature Review on a Rare Complication of Gastric Sleeve Surgery.

作者信息

Chakhachiro Deema, Al Armashi Abdul Rahman, Bawwab Ameed, Alsallamin Isaac, Homeida Mohamed, Haroun Dina, Haidous Mohammad, Ravakhah Keyvan

机构信息

Department of Internal Medicine, Northeast Ohio Medical University, Cleveland, USA.

Department of Internal Medicine, Saint Vincent Charity Medical Center, Cleveland, USA.

出版信息

Cureus. 2022 Feb 27;14(2):e22650. doi: 10.7759/cureus.22650. eCollection 2022 Feb.

DOI:10.7759/cureus.22650
PMID:35371646
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8963363/
Abstract

Gastric sleeve surgery is a frequently performed procedure. Although it is one of the safest bariatric procedures, it is like any other operation that carries significant risks and complications. Moreover, the hepatic abscess is an infrequent complication of laparoscopic gastric sleeve surgery, the infected late gastric leakage is a rare etiology of the hepatic abscess. We present a case of liver abscess developed one month after sleeve gastrectomy secondary to infected walled-off late-gastric leak. The case highlights this rare complication of gastric sleeve surgery. Moreover, early treatment of liver abscesses with imaging-guided drainage and intravenous antibiotics can prevent life-threatening outcomes.

摘要

胃袖状切除术是一种经常实施的手术。尽管它是最安全的减肥手术之一,但它和其他任何手术一样,都存在重大风险和并发症。此外,肝脓肿是腹腔镜胃袖状切除术罕见的并发症,感染性晚期胃漏是肝脓肿的罕见病因。我们报告一例胃袖状切除术后1个月因感染性包裹性晚期胃漏继发肝脓肿的病例。该病例凸显了胃袖状切除术这一罕见并发症。此外,通过影像引导下引流和静脉使用抗生素对肝脓肿进行早期治疗可预防危及生命的后果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1009/8963363/81f52e5bc211/cureus-0014-00000022650-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1009/8963363/7ffca50cf141/cureus-0014-00000022650-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1009/8963363/81f52e5bc211/cureus-0014-00000022650-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1009/8963363/7ffca50cf141/cureus-0014-00000022650-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1009/8963363/81f52e5bc211/cureus-0014-00000022650-i02.jpg

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引用本文的文献

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本文引用的文献

1
Laparoscopic Management of Hepatic Abscess From Ingested Chicken Bone.腹腔镜治疗误食鸡骨导致的肝脓肿
Cureus. 2021 Feb 17;13(2):e13403. doi: 10.7759/cureus.13403.
2
Pyogenic liver abscess after laparoscopic sleeve gastrectomy.腹腔镜袖状胃切除术后的化脓性肝脓肿
Pak J Med Sci. 2018 May-Jun;34(3):767-769. doi: 10.12669/pjms.343.14409.
3
Solid Organ Infections: Rare Complications After Laparoscopic Sleeve Gastrectomy: a Report of Four Cases.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
Gastric leak after laparoscopic-sleeve gastrectomy for obesity.腹腔镜袖状胃切除术治疗肥胖术后胃漏
Obes Surg. 2009 Dec;19(12):1672-7. doi: 10.1007/s11695-009-9884-9.
5
The science of stapling and leaks.吻合器与漏诊的科学
Obes Surg. 2004 Nov-Dec;14(10):1290-8. doi: 10.1381/0960892042583888.