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.
journal_name
Obes Surgjournal_title
Obesity surgeryauthors
Nassour F,Schoucair NM,Tranchart H,Maitre S,Dagher Idoi
10.1007/s11695-017-3069-8subject
Has Abstractpub_date
2018-02-01 00:00:00pages
589-593issue
2eissn
0960-8923issn
1708-0428pii
10.1007/s11695-017-3069-8journal_volume
28pub_type
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