Gangrena esplénica por Streptococcus anginosus post manga gástrica laparoscópica complicada con hemoperitoneo y comunicación gastroesplénica secundaria: Caso clínico
| Autor: | Pablo Muñoz, Marcela Opazo V, Carlos Calderón Carvajal, Andrés Rojas G |
|---|---|
| Jazyk: | Spanish; Castilian |
| Rok vydání: | 2010 |
| Předmět: |
Gangrene
Sleeve gastrectomy medicine.medical_specialty Percutaneous business.industry medicine.medical_treatment Stomach General Medicine medicine.disease Surgery Splenic infarction medicine.anatomical_structure Gastrectomy Streptococcus anginosus medicine Hemoperitoneum Leukocytosis medicine.symptom business |
| Zdroj: | Revista médica de Chile v.138 n.12 2010 SciELO Chile CONICYT Chile instacron:CONICYT |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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