title: Delayed splenic abscess after laparoscopic sleeve gastrectomy.
abstract: Splenic abscesses complicating sleeve gastrectomies are extremely rare. We report the fourth recorded case of a splenic abscess; in our case it occurred 10 weeks after sleeve gastrectomy in a 44-year-old man. The clinical presentation was vague but included the triad of fever, left upper quadrant tenderness and leucocytosis. The presence of this triad after sleeve gastrectomy should prompt investigation with contrast CT scans to exclude a splenic abscess.
authors.affiliation: Department of Clinical Surgical Sciences, University of the West Indies, St Augustine, Tobago.
authors.forename: Yardesh
authors.initials: Y
authors.lastname: Singh
authors.affiliation: Department of Clinical Surgical Sciences, University of the West Indies, St Augustine, Trinidad and Tobago.
authors.forename: Shamir
authors.initials: S
authors.lastname: Cawich
authors.affiliation: Department of Clinical Surgical Sciences, University of the West Indies, St Augustine, Trinidad and Tobago.
authors.forename: Imran
authors.initials: I
authors.lastname: Aziz
authors.affiliation: Department of Clinical Surgical Sciences, University of the West Indies, St Augustine, Tobago.
authors.forename: Vijay
authors.initials: V
authors.lastname: Naraynsingh
mesh_terms: D000038:Abscess / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000601:surgery; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003287:Contrast Media; D003937:Diagnosis, Differential; D005743:Gastrectomy; D006801:Humans; D010535:Laparoscopy; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000601:surgery; D011856:Radiographic Image Enhancement; D013154:Spleen / Q000000981:diagnostic imaging / Q000601:surgery; D013156:Splenectomy; D013158:Splenic Diseases / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000601:surgery; D014057:Tomography, X-Ray Computed
chemical_list: D000900:Anti-Bacterial Agents; D003287:Contrast Media