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袖状胃切除术后并发胃漏、门静脉血栓形成和肝脓肿:1例罕见病例报告

Concomitant Gastric Leak, Portal Vein Thrombosis, and Liver Abscesses Following Sleeve Gastrectomy: A Report of a Rare Case.

作者信息

Flores-Maciel Karla Carolina, Siordia-Cruz Nahomi Sharon, Suárez-Carreón Luis Osvaldo

机构信息

General Surgery, American British Cowdray Medical Center, Mexico City, MEX.

General Surgery, Mexican Social Security Institute, Specialty Hospital, Western National Medical Center, Guadalajara, MEX.

出版信息

Cureus. 2024 Nov 16;16(11):e73813. doi: 10.7759/cureus.73813. eCollection 2024 Nov.

Abstract

One of the most serious complications after sleeve gastrectomy (SG) is a postoperative leak. Early diagnosis and treatment are essential due to potential secondary complications, such as sepsis, septic shock, and death. Less commonly known and rare complications include portal thrombosis and liver abscesses, which have been reported in only a few cases. Here, we present a patient who developed a leak, portal thrombosis, and concomitant liver abscesses, requiring both surgical and medical management, ultimately leading to a favorable outcome. To our knowledge, this is the first case report of these three concomitant complications in a patient in Mexico.

摘要

袖状胃切除术(SG)后最严重的并发症之一是术后渗漏。由于可能出现败血症、感染性休克和死亡等潜在的继发性并发症,早期诊断和治疗至关重要。鲜为人知且罕见的并发症包括门静脉血栓形成和肝脓肿,仅有少数病例报道过。在此,我们报告一例出现渗漏、门静脉血栓形成并伴有肝脓肿的患者,需要手术和药物治疗,最终取得了良好的结果。据我们所知,这是墨西哥首例关于这三种并发症同时出现的病例报告。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21cc/11650118/3ce8de66a37d/cureus-0016-00000073813-i01.jpg

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