Highlights
- •Pyogenic hepatic abscess is a rare complication after laparoscopic sleeve gastrectomy (LSG).
- •Causes of pyogenic hepatic abscess after (LSG) include hematoma or staple line leak, portal pylephlebitis or cryptogenic.
- •Contrast-enhanced CT has 95% sensitivity in the diagnosis of pyogenic hepatic abscess.
- •Imaging is essential to rule out staple line leak, assess the extent of disease and offer percutaneous drainage.
Abstract
A pyogenic hepatic abscess is an uncommon complication after laparoscopic sleeve gastrectomy
(LSG) that can develop secondary to an infected hematoma or a staple line leak due
to bacterial seeding. Appropriate screening for and management of a pyogenic hepatic
abscess are essential in patients with clinical suspicion for complications after
LSG. Early diagnosis is essential as pyogenic hepatic abscess can be fatal if not
treated early. Only five cases have been reported in the literature so far. We present
a case of pyogenic hepatic abscess that occurred two weeks after LSG in a 46-year-old
female without immunosuppressive conditions or early postoperative leak. The abscess
was diagnosed by computed tomography (CT) and was successfully treated with antibiotics
and CT-guided drainage.
Keywords
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Article info
Publication history
Published online: October 23, 2021
Accepted:
October 19,
2021
Received in revised form:
October 7,
2021
Received:
July 16,
2021
Identification
Copyright
© 2021 Elsevier Inc. All rights reserved.
