Gangrena esplénica por Streptococcus anginosus post manga gástrica laparoscópica complicada con hemoperitoneo y comunicación gastroesplénica secundaria: Caso clínico

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 lesion...

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Autores principales:	ROJAS G,ANDRÉS, OPAZO V,MARCELA, MUÑOZ,PABLO, CARVAJAL,CARLOS
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2010
Materias:	Gastrectomy Splenic infarction Streptococcus anginosus
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872010001300011
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spelling	oai:scielo:S0034-988720100013000112011-02-07Gangrena esplénica por Streptococcus anginosus post manga gástrica laparoscópica complicada con hemoperitoneo y comunicación gastroesplénica secundaria: Caso clínicoROJAS G,ANDRÉSOPAZO V,MARCELAMUÑOZ,PABLOCARVAJAL,CARLOS Gastrectomy Splenic infarction Streptococcus anginosus 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.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.138 n.12 20102010-12-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872010001300011es10.4067/S0034-98872010001300011
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Gastrectomy Splenic infarction Streptococcus anginosus
spellingShingle	Gastrectomy Splenic infarction Streptococcus anginosus ROJAS G,ANDRÉS OPAZO V,MARCELA MUÑOZ,PABLO CARVAJAL,CARLOS Gangrena esplénica por Streptococcus anginosus post manga gástrica laparoscópica complicada con hemoperitoneo y comunicación gastroesplénica secundaria: Caso clínico
description	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.
author	ROJAS G,ANDRÉS OPAZO V,MARCELA MUÑOZ,PABLO CARVAJAL,CARLOS
author_facet	ROJAS G,ANDRÉS OPAZO V,MARCELA MUÑOZ,PABLO CARVAJAL,CARLOS
author_sort	ROJAS G,ANDRÉS
title	Gangrena esplénica por Streptococcus anginosus post manga gástrica laparoscópica complicada con hemoperitoneo y comunicación gastroesplénica secundaria: Caso clínico
title_short	Gangrena esplénica por Streptococcus anginosus post manga gástrica laparoscópica complicada con hemoperitoneo y comunicación gastroesplénica secundaria: Caso clínico
title_full	Gangrena esplénica por Streptococcus anginosus post manga gástrica laparoscópica complicada con hemoperitoneo y comunicación gastroesplénica secundaria: Caso clínico
title_fullStr	Gangrena esplénica por Streptococcus anginosus post manga gástrica laparoscópica complicada con hemoperitoneo y comunicación gastroesplénica secundaria: Caso clínico
title_full_unstemmed	Gangrena esplénica por Streptococcus anginosus post manga gástrica laparoscópica complicada con hemoperitoneo y comunicación gastroesplénica secundaria: Caso clínico
title_sort	gangrena esplénica por streptococcus anginosus post manga gástrica laparoscópica complicada con hemoperitoneo y comunicación gastroesplénica secundaria: caso clínico
publisher	Sociedad Médica de Santiago
publishDate	2010
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872010001300011
work_keys_str_mv	AT rojasgandres gangrenaesplenicaporstreptococcusanginosuspostmangagastricalaparoscopicacomplicadaconhemoperitoneoycomunicaciongastroesplenicasecundariacasoclinico AT opazovmarcela gangrenaesplenicaporstreptococcusanginosuspostmangagastricalaparoscopicacomplicadaconhemoperitoneoycomunicaciongastroesplenicasecundariacasoclinico AT munozpablo gangrenaesplenicaporstreptococcusanginosuspostmangagastricalaparoscopicacomplicadaconhemoperitoneoycomunicaciongastroesplenicasecundariacasoclinico AT carvajalcarlos gangrenaesplenicaporstreptococcusanginosuspostmangagastricalaparoscopicacomplicadaconhemoperitoneoycomunicaciongastroesplenicasecundariacasoclinico
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Gangrena esplénica por Streptococcus anginosus post manga gástrica laparoscópica complicada con hemoperitoneo y comunicación gastroesplénica secundaria: Caso clínico

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