Delayed Intra Splenic Abscess: a Specific Complication Following Laparoscopic Sleeve Gastrectomy.

BACKGROUND: Delayed intra splenic abscess after laparoscopic sleeve gastrectomy (LSG) is a very rare complication with poor manifestations.

METHODS: We present three cases of delayed intrasplenic abscess which were managed in our departmentof minimal invasive surgery.

DISCUSSION: Splenic abscess may occur in the early post-operative period following LSG; it is usually an extra splenic event after the gastric leak or an infected hematoma. In our cases, two patients had an asymptomatic ischemic demarcation in the upper part of the spleen. This underlines the possible role of ischemia as a factor in abscess formation of late intrasplenic abscesses that enhanced by a state of transient immune suppression.

CONCLUSION: Intrasplenic abscess complicating laparoscopic sleeve gastrectomy is different from early extra splenic abscesses. The exact causes are still unclear; the role of partial splenic ischemia has to be rolled out.