Pyogenic liver abscess after laparoscopic sleeve gastrectomy

Demir, Hakan; Özdemir, Kayhan; Karaman, Kerem

doi:10.12669/pjms.343.14409

Cited by 3 publications

(3 citation statements)

References 9 publications

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“…The hepatic abscess is an infrequent complication after laparoscopic sleeve gastrectomy. Many etiologies play a role in the formation of liver abscesses, such as enteric fistula formation, the spread of the bacteria from the infected material in the gastrosplenic area after laparoscopic sleeve gastrectomy, and ascending migration of bacteria from the portal venous system due to pylephlebitis of the portomesenteric veins secondary to leak-related collection [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

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Pyogenic Hepatic Abscess: A Case Report and Literature Review on a Rare Complication of Gastric Sleeve Surgery

Chakhachiro¹,

Armashi²,

Bawwab³

et al. 2022

Cureus

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Gastric sleeve surgery is a frequently performed procedure. Although it is one of the safest bariatric procedures, it is like any other operation that carries significant risks and complications. Moreover, the hepatic abscess is an infrequent complication of laparoscopic gastric sleeve surgery, the infected late gastric leakage is a rare etiology of the hepatic abscess. We present a case of liver abscess developed one month after sleeve gastrectomy secondary to infected walled-off late-gastric leak. The case highlights this rare complication of gastric sleeve surgery. Moreover, early treatment of liver abscesses with imaging-guided drainage and intravenous antibiotics can prevent life-threatening outcomes.

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Section: Discussionmentioning

confidence: 99%

“…While the ischemic causes appear on days 5-6 postoperatively [ 3 ]. Interestingly, gastric sleeve surgery has the longest staple line, increasing the risk of leakage [ 4 ]. The infected leakage may cause a hepatic abscess or splenic abscess, which has been rarely reported in the literature in gastric sleeve surgery patients.…”

Section: Introductionmentioning

confidence: 99%

Pyogenic Hepatic Abscess: A Case Report and Literature Review on a Rare Complication of Gastric Sleeve Surgery

Chakhachiro¹,

Armashi²,

Bawwab³

et al. 2022

Cureus

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“…Portal vein pyemia and biliary infection play major roles in the pathogenesis of liver abscess. Demir et al [ 4 ] reported a case of pyogenic liver abscess developing 2 weeks after laparoscopic gastrectomy. They speculated the liver abscess to be the migration of the bacteria from the minor leak at the staple line.…”

Section: Discussionmentioning

confidence: 99%

Liver Abscess and Prolonged Postoperative Intra-Abdominal Free Air without Anastomotic Leakage after Laparoscopic Gastrectomy

Kataoka¹,

Oura²,

Makimoto³

2022

Case Rep Gastroenterol

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An 84-year-old thin, i.e., body mass index of 17.8, woman with gastric cancer underwent laparoscopic distal gastrectomy and lymph node dissection followed by Roux-en-Y reconstruction. During the operation, Nathanson liver retractor (NLR) was used to press the left lobe of the liver. The patient recovered uneventfully and was discharged on the 9th postoperative day. The patient, however, developed abdominal pain just on the day of discharge. Sudden onset of the abdominal pain and massive free air on computed tomography made us do diagnostic laparoscopy. Detailed laparoscopic observation showed slight liver swelling at the pressure site of the NLR, superficial band-shaped color change on the left lobe of the liver, and no anastomotic leakage, suggesting the massive free air caused by prolonged retention of postoperative intra-abdominal air. Two days later, persistent fever, inflammatory findings, and presumed liver abscess showing no healing tendency made us do ultrasound-guided aspiration to the liver focus. Bacterial culture test showed the bacterium <i>Escherichia coli</i>, being sensitive to meropenem. Despite the failure of abscess drainage, antibiotic therapy using meropenem gradually alleviated her symptoms and the patient was discharged from the hospital in 15 days after the abscess aspiration. Surgeons should note possible prolonged postoperative intra-abdominal free air and liver abscess without anastomotic leakage after laparoscopic gastrectomy especially in thin patients to avoid inappropriate postoperative management.

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A rare complication of pyogenic hepatic abscess after laparoscopic sleeve gastrectomy—case report and literature review emphasizing the role of imaging

Elsherif

Sharma²,

Nguyen

et al. 2022

Clinical Imaging

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Pyogenic liver abscess after laparoscopic sleeve gastrectomy

Cited by 3 publications

References 9 publications

Pyogenic Hepatic Abscess: A Case Report and Literature Review on a Rare Complication of Gastric Sleeve Surgery

Pyogenic Hepatic Abscess: A Case Report and Literature Review on a Rare Complication of Gastric Sleeve Surgery

Liver Abscess and Prolonged Postoperative Intra-Abdominal Free Air without Anastomotic Leakage after Laparoscopic Gastrectomy

A rare complication of pyogenic hepatic abscess after laparoscopic sleeve gastrectomy—case report and literature review emphasizing the role of imaging

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