title: Unusual complication of multiple splenic abscesses arising from a feeding jejunostomy tube subsequent to total gastrectomy: A case report and literature review.
abstract: Splenic abscess is a rare clinical entity. The present study reports a case of a patient that suffered from splenic abscess secondary to septicemia resulting fromKlebsiella pneumoniaeinfection following the removal of the feeding jejunostomy tube that was utilized subsequent to the patient undergoing total gastrectomy as part of the treatment regimen for gastric adenocarcinoma. The early clinical presentation was nonspecific and multiple splenic abscesses were subsequently identified. To reduce the risks of an additional surgical procedure in this particular patient, laparoscopic assisted splenotomy and catheter drainage were performed. Due to the severe complications that occurred in the present patient, no adjuvant chemotherapy was administered. Therefore, the unusual complication of splenic abscess subsequent to total gastrectomy should be noted, and the routine feeding jejunostomy tube placement at the time of total gastrectomy should be discussed and re-assessed.
authors.affiliation: Department of Respiratory Medicine, First Hospital of Tsinghua University, Beijing 100016, P.R. China.
authors.forename: Shuchang
authors.initials: S
authors.lastname: An
authors.affiliation: Department of Respiratory Medicine, First Hospital of Tsinghua University, Beijing 100016, P.R. China.
authors.forename: Bing
authors.initials: B
authors.lastname: Li
authors.affiliation: Department of Respiratory Medicine, First Hospital of Tsinghua University, Beijing 100016, P.R. China.
authors.forename: Rong
authors.initials: R
authors.lastname: Cui
authors.affiliation: Department of Respiratory Medicine, First Hospital of Tsinghua University, Beijing 100016, P.R. China.
authors.forename: Feng
authors.initials: F
authors.lastname: Yan
authors.affiliation: Department of General Surgery, First Hospital of Tsinghua University, Beijing 100016, P.R. China.
authors.forename: Guoshan
authors.initials: G
authors.lastname: Yang
authors.affiliation: Department of General Surgery, First Hospital of Tsinghua University, Beijing 100016, P.R. China.
authors.forename: L I
authors.initials: LI
authors.lastname: Zhao
authors.affiliation: Department of General Surgery, First Hospital of Tsinghua University, Beijing 100016, P.R. China.
authors.forename: Zhenya
authors.initials: Z
authors.lastname: Zhang
authors.affiliation: Department of Respiratory Medicine, First Hospital of Tsinghua University, Beijing 100016, P.R. China.
authors.forename: Ruiqin
authors.initials: R
authors.lastname: Wang
keywords: feeding jejunostomy tube; splenic abscess; total gastrectomy