Pyogenic Liver Abscess Post Sleeve Gastrectomy Complicated by Leak: A Case Report and Literature Review

Heba Al Faris, Mohammed Al-Aqeel, Ibrahim Hazza Al-onazi, Wassim Abou Yassine and Abdullah Al Qurashi

Department of Metabolic and Bariatric Surgery, King Saud Medical City, Saudi Arabia

^*Correspondance to: Heba Al Faris 

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Abstract:

Background: Laparoscopic Sleeve Gastrectomy (LSG) is the most popular bariatric and metabolic operation performed. Its rapid rise in popularity coupled with good initial results made it a major component of patient care for the treatment of morbid obesity and its comorbid medical problems. LSG is a relatively safe procedure but has rare, sometimes serious complications such as staple line leak, bleeding and strictures. Liver abscess is a rarely reported complication of LSG. An infected material in the gastrosplenic area after LSG due to hematoma or staple line leak has the potential to cause spread of the bacterial content to the liver and later on pyogenic liver abscess. Methods: A case report study type with literature review. Results: We report a rare case of liver abscess as a complication of LSG. Conclusion: Although rare, clinicians should be aware of liver abscess after LSG due to the serious consequences and the high mortality rate. Image-guided percutaneous drainage plus intravenous antibiotic therapy is usually sufficient. Furthermore, it is advisable to repeat the diagnostic imaging in the follow up of patients.

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Cite the Article:

Al Faris H, Al-Aqeel M, Hazza Al-onazi I, Abou Yassine W, Al Qurashi A. Pyogenic Liver Abscess Post Sleeve Gastrectomy Complicated by Leak: A Case Report and Literature Review. Ann Clin Case Rep. 2020; 5: 1798.