Abdominal abscess
Presentation
A 45-year-old morbidly obese female with HIV presents with increasing right upper quadrant abdominal pain of one-week duration. The patient recently had a sleeve gastrectomy performed.
Patient Data
Age: 45 years
Gender: Female
From the case:
Abdominal abscess
CT
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Axial non-contrast
The patient has a right subhepatic abscess measuring 13cm in diameter. There is no intrahepatic dilation. Catheter had been placed by IR under CT guidance
Case Discussion
An intraabdominal abscess is an exceedingly rare complication of a laparoscopic sleeve gastrectomy occurring at a rate of 0.7% 1.
It is managed by percutaneous or surgical drainage depending on the characteristics of the abscess.
The patient described immediate relief upon drainage. A JP bulb was left in place to finish draining the abscess. She is doing well on follow-up.
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