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.
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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
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.
- Sarkhosh K, Birch DW, Sharma A, Karmali S. Complications associated with laparoscopic sleeve gastrectomy for morbid obesity: a surgeon's guide. Can J Surg. 2013;56(5):347-52.