腹腔镜袖状胃切除术后并发脾脓肿：病例报告
Post-laparoscopic sleeve gastrectomy with splenic abscess: Case report.
作者信息
Alzahrani Ahmed, Islami Maha M, Batayyah Esam
机构信息
Department of General Surgery, King Fahd General Hospital, Jeddah 23325, Saudi Arabia.
Department of Pharmacy Practice, College of Pharmacy, King Abdulaziz University, Jeddah 21589, Saudi Arabia.
出版信息
Int J Surg Case Rep. 2023 Apr;105:108024. doi: 10.1016/j.ijscr.2023.108024. Epub 2023 Mar 22.
INTRODUCTION AND IMPORTANCE
One of the complications of laparoscopic sleeve gastrectomy (LSG) is a splenic abscess, considered a rare complication. As it is rare, it is a challenge to diagnose.
CASE PRESENTATION
In this case, a 62-year-old male patient who underwent LSG returned after three weeks with abdominal pain and fever. CLINICAL DISCUSSION: leak, Infection, spleen infarction These seemed like common complications, such as leaking from the stapler line, but the CT findings indicated a splenic abscess. The primary explanation for such an abscess is unclear in our case as the other reported cases were with the hypothesis of the late leak. A different treatment approach, laparoscopic exploration with incision and drainage, is the preferred option for this patient.
CONCLUSION
rare complications can be a challenge and how to manage them can be different from the standard to help the patient.
引言与重要性
腹腔镜袖状胃切除术（LSG）的并发症之一是脾脓肿，这被认为是一种罕见的并发症。由于其罕见性，诊断具有挑战性。
病例介绍
在本病例中，一名62岁男性患者在接受LSG三周后因腹痛和发热复诊。
临床讨论
渗漏、感染、脾梗死这些似乎是常见的并发症，比如吻合器缝线处渗漏，但CT检查结果显示为脾脓肿。在我们的病例中，这种脓肿的主要病因尚不清楚，因为其他报道的病例推测是迟发性渗漏。对于该患者，一种不同的治疗方法，即腹腔镜探查并切开引流，是首选方案。
结论
罕见并发症可能具有挑战性，如何处理它们可能与标准方法不同，以帮助患者。
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