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Case Reports
. 2018 May-Jun;34(3):767-769.
doi: 10.12669/pjms.343.14409.

Pyogenic liver abscess after laparoscopic sleeve gastrectomy

Hakan Demir  1 , Kayhan Ozdemir  2 , Kerem Karaman  3
Affiliations
Case Reports

Pyogenic liver abscess after laparoscopic sleeve gastrectomy

Hakan Demir et al. Pak J Med Sci. 2018 May-Jun.

Abstract

An infected material in the gastrosplenic area after laparoscopic sleeve gastrectomy (LSG) due to hematoma or staple line leak has the potential to spread of the bacterial content to the liver which can result in pyogenic liver abscess. Presently described is a thirty-seven-year-old female patient with unilocular pyogenic liver abscess two weeks after LSG. The abscess resolved by Ultrasound guided percutaneous drainage plus intravenous antibiotic treatment. Review of the literature regarding 3 other cases with liver abscess after LSG is also presented.

Keywords: Pyogenic liver abscess; Sleeve gastrectomy; Staple line leak.

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Figures

Fig.1
Fig.1
A) Chest X-ray showed blunting of the left costaphrenic angle with minimal left pleural effusion, B) oral contrast given gastro duodenography which ruled out staple line leak, C) Axial section of the liver abscess, D) Vertical image of the liver abscess.
See this image and copyright information in PMC

References

    1. Angrisani L, Santonicola A, Iovino P, Formisano G, Buchwald H, Scopinaro N. Bariatric Surgery Worldwide 2013. Obes Surg. 2015;25(10):1822–1832. doi:10.1007/s11695-015-1657-z. - PubMed
    1. Zhang Y, Wang J, Sun X, Cao Z, Xu X, Liu D, et al. Laparoscopic sleeve gastrectomy versus laparoscopic Roux-en-Y gastric bypass for morbid obesity and related comorbidities:a meta-analysis of 21 studies. Obes Surg. 2015;25(1):19–26. doi:10.1007/s11695-014-1385-9. - PubMed
    1. De Angelis F, Abdelgawad M, Rizzello M, Mattia C, Silecchia G. Perioperative hemorrhagic complications after laparoscopic sleeve gastrectomy:four-year experience of a bariatric center of excellence. Surg Endosc. 2017;31(9):3547–3551. doi:10.1007/s00464-016-5383-y. - PubMed
    1. Iossa A, Abdelgawad M, Watkins BM, Silecchia G. Leaks after laparoscopic sleeve gastrectomy:overview of pathogenesis and risk factors. Langenbecks Arch Surg. 2016;401(6):757–766. doi:10.1007/s00423-016-1464-6. - PubMed
    1. Trastulli S, Desiderio J, Guarino S, Cirocchi R, Scalercio V, Noya G, et al. Laparoscopic sleeve gastrectomy compared with other bariatric surgical procedures:a systematic review of randomized trials. Surg Obes Relat Dis. 2013;9(5):816–829. doi:10.1016/j.soard.2013.05.007. - PubMed

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