Cirimele Vincenzo, D'Amone Giulia, Vertulli Daniele, Spagnolo Giuseppe, Pileri Matteo, Montanari Edoardo, Faiella Eliodoro, Zobel Bruno Beomonte
Diagnostic Imaging Unit, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200-00128 Roma, Italy.
Bariatric Surgery Unit, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200-00128 Roma, Italy.
Radiol Case Rep. 2023 Sep 16;18(11):4187-4190. doi: 10.1016/j.radcr.2023.08.113. eCollection 2023 Nov.
Endoscopic sleeve gastroplasty is a minimally invasive procedure for the treatment of obesity. The procedure is generally safe and well-tolerated, but major adverse events occur in up to 3% of patients. Perigastric abscess is a potential complication caused by postprocedural gastric leak. To the best of our knowledge, no cases of hepatic abscess (HA) following endoscopic sleeve gastroplasty have been reported, while HA is a well-known complication of laparoscopic sleeve gastrectomy. We report the case of a patient who developed a liver abscess 2 weeks after endoscopic sleeve gastroplasty. The patient improved with administration of intravenous antibiotics and endoscopic drainage.
内镜袖状胃成形术是一种用于治疗肥胖症的微创手术。该手术一般安全且耐受性良好，但高达3%的患者会发生严重不良事件。胃周脓肿是术后胃漏引起的一种潜在并发症。据我们所知，内镜袖状胃成形术后尚未有肝脓肿（HA）的病例报道，而HA是腹腔镜袖状胃切除术的一种众所周知的并发症。我们报告一例患者在内镜袖状胃成形术后2周发生肝脓肿。患者通过静脉注射抗生素和内镜引流后病情好转。
