SciELO - Scientific Electronic Library Online

vol.138 issue12Mesenteric cryptococcal lymphadenitis: Report of one caseUpdate on chronic obstructive pulmonary disease author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand




Related links


Revista médica de Chile

Print version ISSN 0034-9887


ROJAS G, ANDRÉS; OPAZO V, MARCELA; MUNOZ, PABLO  and  CARVAJAL, CARLOS. Splenic gangrene due to Streptococcus anginosus after a sleeve gastrectomy: Report of one case. Rev. méd. Chile [online]. 2010, vol.138, n.12, pp.1539-1543. ISSN 0034-9887.

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.

Keywords : Gastrectomy; Splenic infarction; Streptococcus anginosus.

        · text in Spanish     · Spanish ( pdf )


Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License