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Revista médica de Chile

versão impressa ISSN 0034-9887

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ROJAS G, ANDRÉS; OPAZO V, MARCELA; MUNOZ, PABLO  e  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.

Palavras-chave : Gastrectomy; Splenic infarction; Streptococcus anginosus.

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