title: [Splenic gangrene due to Streptococcus anginosus after a sleeve gastrectomy. Report of one case].
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.
authors.affiliation: Universidad de la Frontera, Temuco, Chile. andresirij¡llo@gma¡l.com
authors.forename: Andrés
authors.initials: A
authors.lastname: Rojas
authors.forename: Marcela
authors.initials: M
authors.lastname: Opazo
authors.forename: Pablo
authors.initials: P
authors.lastname: Muñoz
authors.forename: Carlos
authors.initials: C
authors.lastname: Carvajal
mesh_terms: D018784:Abdominal Abscess / Q000382:microbiology*; D005260:Female; D005734:Gangrene; D005743:Gastrectomy / Q000009:adverse effects* / Q000379:methods; D006801:Humans; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery; D012307:Risk Factors; D013159:Splenic Infarction / Q000473:pathology*; D013290:Streptococcal Infections / Q000382:microbiology*; D034366:Streptococcus anginosus / Q000302:isolation & purification*