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Delayed Intra Splenic Abscess: a Specific Complication Following Laparoscopic Sleeve Gastrectomy

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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.

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Authors and Affiliations

  1. Department of Minimally Invasive Digestive Surgery, Antoine Beclere Hospital, AP-HP, 92140, Clamart, France

    Fajer Nassour, Naim Michel Schoucair, Hadrien Tranchart & Ibrahim Dagher

  2. Department of Radiology, Antoine Beclere Hospital, AP-HP, 92140, Clamart, France

    Sophie Maitre

  3. Paris-Sud University, 91405, Orsay, France

    Hadrien Tranchart, Sophie Maitre & Ibrahim Dagher

  4. Department of Minimally Invasive Digestive Surgery, Antoine Beclere Hospital, 157 rue de la Porte de Trivaux, 92141, Clamart cedex, France

    Ibrahim Dagher

Authors
  1. Fajer Nassour
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  2. Naim Michel Schoucair
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  3. Hadrien Tranchart
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  4. Sophie Maitre
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  5. Ibrahim Dagher
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Corresponding author

Correspondence to Ibrahim Dagher.

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The authors declare that they have no conflict of interest.

Ethical Approval Statement

All procedures involving human participants were performed in accordance with the ethical standards of the institutional and/or national research ethics committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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Does not apply.

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Nassour, F., Schoucair, N.M., Tranchart, H. et al. Delayed Intra Splenic Abscess: a Specific Complication Following Laparoscopic Sleeve Gastrectomy. OBES SURG 28, 589–593 (2018). https://doi.org/10.1007/s11695-017-3069-8

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  • DOI: https://doi.org/10.1007/s11695-017-3069-8

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