Chakhachiro Deema, Al Armashi Abdul Rahman, Bawwab Ameed, Alsallamin Isaac, Homeida Mohamed, Haroun Dina, Haidous Mohammad, Ravakhah Keyvan
Department of Internal Medicine, Northeast Ohio Medical University, Cleveland, USA.
Department of Internal Medicine, Saint Vincent Charity Medical Center, Cleveland, USA.
Cureus. 2022 Feb 27;14(2):e22650. doi: 10.7759/cureus.22650. eCollection 2022 Feb.
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.
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。