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
em Es
| LILACS
| ID: lil-583052
Biblioteca responsável:
BR1.1
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.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
LILACS
Assunto principal:
Infarto do Baço
/
Infecções Estreptocócicas
/
Abscesso Abdominal
/
Streptococcus anginosus
/
Gastrectomia
Tipo de estudo:
Etiology_studies
/
Risk_factors_studies
Limite:
Female
/
Humans
Idioma:
Es
Revista:
Rev. méd. Chile
Assunto da revista:
MEDICINA
Ano de publicação:
2010
Tipo de documento:
Article
País de afiliação:
Chile
País de publicação:
Chile