SciELO - Scientific Electronic Library Online

 
vol.138 issue12Mesenteric cryptococcal lymphadenitis: Report of one caseUpdate on chronic obstructive pulmonary disease author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

Related links

Share


Revista médica de Chile

Print version ISSN 0034-9887

Abstract

ROJAS G, ANDRÉS; OPAZO V, MARCELA; MUNOZ, PABLO  and  CARVAJAL, CARLOS. Splenic gangrene due to Streptococcus anginosus after a sleeve gastrectomy: Report of one case. Rev. méd. Chile [online]. 2010, vol.138, n.12, pp.1539-1543. ISSN 0034-9887.  http://dx.doi.org/10.4067/S0034-98872010001300011.

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.

Keywords : Gastrectomy; Splenic infarction; Streptococcus anginosus.

        · text in Spanish     · Spanish ( pdf )

 

Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License