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Case Reports
. 2022 Feb 27;14(2):e22650.
doi: 10.7759/cureus.22650. eCollection 2022 Feb.

Pyogenic Hepatic Abscess: A Case Report and Literature Review on a Rare Complication of Gastric Sleeve Surgery

Deema Chakhachiro  1   2 , Abdul Rahman Al Armashi  1   2 , Ameed Bawwab  1   2 , Isaac Alsallamin  1   2 , Mohamed Homeida  1   2 , Dina Haroun  1   2 , Mohammad Haidous  1   2 , Keyvan Ravakhah  1   2
Affiliations
Case Reports

Pyogenic Hepatic Abscess: A Case Report and Literature Review on a Rare Complication of Gastric Sleeve Surgery

Deema Chakhachiro et al. Cureus. .

Abstract

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.

Keywords: gastric maltoma; gastric sleeve surgery; pyogenic hepatic abscess; rare complication; review of literature.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. CT scan of the abdomen with intravenous contrast shows a liver abscess of the left lobe with multiple fluid levels on the coronal plane (white arrow)
Figure 2
Figure 2. CT scan of the abdomen with intravenous contrast shows liver abscess of the left lobe with multiple fluid levels on the sagittal plane (white arrow)
See this image and copyright information in PMC

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