Unusual complication of multiple splenic abscesses arising from a feeding jejunostomy tube subsequent to total gastrectomy: A case report and literature review

Abstract

Abstract. Splenic abscess is a rare clinical entity. The present study reports a case of a patient that suffered from splenic abscess secondary to septicemia resulting from Klebsiella pneumoniae infection following the removal of the feeding jejunostomy tube that was utilized subsequent to the patient undergoing total gastrectomy as part of the treatment regimen for gastric adenocarcinoma. The early clinical presentation was nonspecific and multiple splenic abscesses were subsequently identified. To reduce the risks of an additional surgical procedure in this particular patient, laparoscopic assisted splenotomy and catheter drainage were performed. Due to the severe complications that occurred in the present patient, no adjuvant chemotherapy was administered. Therefore, the unusual complication of splenic abscess subsequent to total gastrectomy should be noted, and the routine feeding jejunostomy tube placement at the time of total gastrectomy should be discussed and re-assessed.

An unusual complication of septic sacroiliitis: Hepatic and splenic infarction after iliac vein thrombosis

“…Septic thrombophlebitis or acute venous thrombosis may be associated with septicemia or bacteremia [6]. In our case, there were hepatic and splenic abscesses, for which the most frequent factor is metastatic hematogenous infection [4,8,9]. The spleen is a particularly easier target for embolism owing to the features of its anatomy and blood circulation [10].…”

“…Septic sacroiliitis may get complicated in two ways: The infection can spread to adjacent tissue [1,3], or it can spread distantly with septic thrombophlebitis [4,5]. Due to nonspecific physical examination findings, diagnosis of septic sacroiliitis may be difficult.…”