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CASE REPORT
Delayed splenic abscess after laparoscopic sleeve gastrectomy
  1. Yardesh Singh1,
  2. Shamir Cawich2,
  3. Imran Aziz2,
  4. Vijay Naraynsingh1
  1. 1Department of Clinical Surgical Sciences, University of the West Indies, St Augustine, Tobago
  2. 2Department of Clinical Surgical Sciences, University of the West Indies, St Augustine, Trinidad and Tobago
  1. Correspondence to Dr Shamir Cawich, socawich{at}hotmail.com

Summary

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.

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