Fajer Nassour1, Naim Michel Schoucair1, Hadrien Tranchart1,2, Sophie Maitre3,2, Ibrahim Dagher4,5,6. 1. Department of Minimally Invasive Digestive Surgery, Antoine Beclere Hospital, AP-HP, 92140, Clamart, France. 2. Paris-Sud University, 91405, Orsay, France. 3. Department of Radiology, Antoine Beclere Hospital, AP-HP, 92140, Clamart, France. 4. Department of Minimally Invasive Digestive Surgery, Antoine Beclere Hospital, AP-HP, 92140, Clamart, France. ibrahim.dagher@aphp.fr. 5. Paris-Sud University, 91405, Orsay, France. ibrahim.dagher@aphp.fr. 6. Department of Minimally Invasive Digestive Surgery, Antoine Beclere Hospital, 157 rue de la Porte de Trivaux, 92141, Clamart cedex, France. ibrahim.dagher@aphp.fr.
Abstract
BACKGROUND: Delayed intra splenic abscess after laparoscopic sleeve gastrectomy (LSG) is a very rare complication with poor manifestations. METHODS: We present three cases of delayed intrasplenic abscess which were managed in our departmentof minimal invasive surgery. DISCUSSION: Splenic abscess may occur in the early post-operative period following LSG; it is usually an extra splenic event after the gastric leak or an infected hematoma. In our cases, two patients had an asymptomatic ischemic demarcation in the upper part of the spleen. This underlines the possible role of ischemia as a factor in abscess formation of late intrasplenic abscesses that enhanced by a state of transient immune suppression. CONCLUSION: Intrasplenic abscess complicating laparoscopic sleeve gastrectomy is different from early extra splenic abscesses. The exact causes are still unclear; the role of partial splenic ischemia has to be rolled out.
BACKGROUND: Delayed intra splenic abscess after laparoscopic sleeve gastrectomy (LSG) is a very rare complication with poor manifestations. METHODS: We present three cases of delayed intrasplenic abscess which were managed in our departmentof minimal invasive surgery. DISCUSSION: Splenic abscess may occur in the early post-operative period following LSG; it is usually an extra splenic event after the gastric leak or an infected hematoma. In our cases, two patients had an asymptomatic ischemic demarcation in the upper part of the spleen. This underlines the possible role of ischemia as a factor in abscess formation of late intrasplenic abscesses that enhanced by a state of transient immune suppression. CONCLUSION: Intrasplenic abscess complicating laparoscopic sleeve gastrectomy is different from early extra splenic abscesses. The exact causes are still unclear; the role of partial splenic ischemia has to be rolled out.
Authors: V Smyrniotis; D Kehagias; D Voros; A Fotopoulos; A Lambrou; G Kostopanagiotou; E Kostopanagiotou; J Papadimitriou Journal: Dig Surg Date: 2000 Impact factor: 2.588
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Authors: Alexandra R Himel; Erin B Taylor; Charles L Phillips; Bradley A Welch; Redin A Spann; Sibali Bandyopadhyay; Bernadette E Grayson Journal: Exp Biol Med (Maywood) Date: 2019-06-18