Gangrena esplénica por Streptococcus anginosus post manga gástrica laparoscópica complicada con hemoperitoneo y comunicación gastroesplénica secundaria: Caso clínico / Splenic gangrene due to Streptococcus anginosus after a sleeve gastrectomy: Report of one case
Rev. méd. Chile
;
138(12): 1539-1543, dic. 2010. ilus, tab
Article
in Spanish
| LILACS
| ID: lil-583052
ABSTRACT
We report a 46-year-old woman, subjected to a laparoscopic sleeve gastrectomy, that had to be converted to open surgery due to the presence of adherences. She required an immediate new intervention due to a hemoperitoneum caused by a liver tear and venous bleeding from the splenic hilus. Both lesions were successfully repaired. In the postoperative period the patient had fever, leukocytosis and sialorrhea. A CAT scan showed a splenic infarction and a huge intra abdominal collection that communicated with the stomach. Streptococcus anginosus was isolated from the collection. The patient was managed with antimicrobials and percutaneous drainage with a favourable evolution and closure of the communication with the stomach.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Splenic Infarction
/
Streptococcal Infections
/
Abdominal Abscess
/
Streptococcus anginosus
/
Gastrectomy
Type of study:
Etiology study
/
Risk factors
Limits:
Female
/
Humans
Language:
Spanish
Journal:
Rev. méd. Chile
Journal subject:
Medicine
Year:
2010
Type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
Clínica Las Condes/CL
/
Universidad de la Frontera/CL
Similar
MEDLINE
...
LILACS
LIS