Delayed splenic abscess after laparoscopic sleeve gastrectomy.

BMJ Case Rep

Department of Clinical Surgical Sciences, University of the West Indies, St Augustine, Tobago.

Published: February 2015

Splenic abscesses complicating sleeve gastrectomies are extremely rare. We report the fourth recorded case of a splenic abscess; in our case it occurred 10 weeks after sleeve gastrectomy in a 44-year-old man. The clinical presentation was vague but included the triad of fever, left upper quadrant tenderness and leucocytosis. The presence of this triad after sleeve gastrectomy should prompt investigation with contrast CT scans to exclude a splenic abscess.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4336869PMC
http://dx.doi.org/10.1136/bcr-2014-208057DOI Listing

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