Gas-producing infection of the spleen in a super-super-obese patient.

Obes Surg

Department of Surgery, St. Elisabeth Hospital, Brussels, Belgium.

Published: October 2007

Gas-producing bacteria are known to selectively colonize a variety of abdominal viscera, but gas-producing infection limited to the spleen until now has not been reported. A gas-producing (emphysematous) infection of the spleen was diagnosed in a super-super-obese diabetic patient with abdominal pain and signs of sepsis. The patient presented a serious diagnostic challenge because massive abdominal obesity did not enable her to pass through the aperture of a standard computerized tomography unit. Therapeutic options were limited because computerized tomography-guided drainage or splenectomy were technically not feasible or were considered too risky.

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http://dx.doi.org/10.1007/s11695-007-9225-9DOI Listing

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