Abdominal abscess

Case contributed by Matthew Kaluza

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
CT

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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Case information

rID: 60209
Published: 19th May 2018
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included

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