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Case Reports
. 2023 Sep 16;18(11):4187-4190.
doi: 10.1016/j.radcr.2023.08.113. eCollection 2023 Nov.

Liver abscess after endoscopic sleeve gastroplasty: A case report

Vincenzo Cirimele  1 , Giulia D'Amone  1 , Daniele Vertulli  1 , Giuseppe Spagnolo  2 , Matteo Pileri  1 , Edoardo Montanari  1 , Eliodoro Faiella  1 , Bruno Beomonte Zobel  1
Affiliations
Case Reports

Liver abscess after endoscopic sleeve gastroplasty: A case report

Vincenzo Cirimele et al. Radiol Case Rep. .

Abstract

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.

Keywords: Computed tomography; Emergency radiology; Endoscopic sleeve gastrectomy; Liver abscess; Liver imaging.

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Figures

Fig 1
Fig. 1
Axial (A), coronal (B), and sagittal (C) contrast-enhanced abdominal CT, demonstrating a round ill-defined hypodense lesion in the left hepatic lobe (red asterisk).
Fig 2
Fig. 2
Axial (A), sagittal (B), and coronal (C) contrast-enhanced abdominal CT performed 3 days after endoscopic drainage, showing reduction of the abscess's size (red asterisks).
Fig 3
Fig. 3
Axial (A) and coronal (B) contrast-enhanced abdominal CT performed 2 months after endoscopic drainage, showing complete disappearance of the abscess (blue arrows).
See this image and copyright information in PMC

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