Abdominal Actinomycotic Abscess after Laparoscopic Sleeve Gastrectomy for Morbid Obesity: A Case Report
Actinomycosis is a rare, chronic, suppurative, and granulomatous bacterial disease. The <i>Actinomyces</i> species exist as normal flora in the oropharynx, gastrointestinal tract, and the female genital tract. They are incapable of penetrating the normal mucous membranes and become patho...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-08-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1648-9144/59/9/1516 |
| _version_ | 1797578932108656640 |
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| author | Ho-Goon Kim Ho-Kyun Lee Eunkyu Park |
| author_facet | Ho-Goon Kim Ho-Kyun Lee Eunkyu Park |
| author_sort | Ho-Goon Kim |
| collection | DOAJ |
| description | Actinomycosis is a rare, chronic, suppurative, and granulomatous bacterial disease. The <i>Actinomyces</i> species exist as normal flora in the oropharynx, gastrointestinal tract, and the female genital tract. They are incapable of penetrating the normal mucous membranes and become pathogenic only when this barrier has been destroyed by trauma, surgery, immunosuppression, or after viscus perforation. We report the first case of an actinomycotic abscess after laparoscopic sleeve gastrectomy. A 29-year-old man underwent a laparoscopic sleeve gastrectomy with no intra-operative complications. On postoperative day 3, the patient had a fever with elevated inflammatory markers. Abdominal computerized tomography (CT) with oral water-soluble contrast media showed no extra-luminal leakage and no fluid collection adjacent to the resected stomach, other than the fluid collection in the right subhepatic space. Percutaneous drainage was attempted, but the procedure failed due to the patient’s thick abdominal wall. After two weeks of weight loss of about 12 kg, percutaneous drainage was successfully performed, and <i>A. odontolyticus</i> was identified through pus culture. After effective abscess drainage and high-dose antibiotics, the patient’s symptoms improved and the abscess pocket disappeared. We reported <i>Actinomyces</i> infection after gastric sleeve surgery. In the case of abscess formation after gastric sleeve surgery caused by actinomycete infection, antibiotic treatment and percutaneous drainage are effective together. |
| first_indexed | 2024-03-10T22:28:41Z |
| format | Article |
| id | doaj.art-19152370d3c74190bcfae9d49f65997a |
| institution | Directory Open Access Journal |
| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-10T22:28:41Z |
| publishDate | 2023-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-19152370d3c74190bcfae9d49f65997a2023-11-19T11:50:59ZengMDPI AGMedicina1010-660X1648-91442023-08-01599151610.3390/medicina59091516Abdominal Actinomycotic Abscess after Laparoscopic Sleeve Gastrectomy for Morbid Obesity: A Case ReportHo-Goon Kim0Ho-Kyun Lee1Eunkyu Park2Department of General Surgery, Chonnam National University Medical School, 160, Baekseo-ro, Dong-gu, Gwangju 61469, Republic of KoreaDepartment of General Surgery, Chonnam National University Medical School, 160, Baekseo-ro, Dong-gu, Gwangju 61469, Republic of KoreaDepartment of General Surgery, Chonnam National University Hospital, 42, Jebong-ro, Dong-gu, Gwangju 61469, Republic of KoreaActinomycosis is a rare, chronic, suppurative, and granulomatous bacterial disease. The <i>Actinomyces</i> species exist as normal flora in the oropharynx, gastrointestinal tract, and the female genital tract. They are incapable of penetrating the normal mucous membranes and become pathogenic only when this barrier has been destroyed by trauma, surgery, immunosuppression, or after viscus perforation. We report the first case of an actinomycotic abscess after laparoscopic sleeve gastrectomy. A 29-year-old man underwent a laparoscopic sleeve gastrectomy with no intra-operative complications. On postoperative day 3, the patient had a fever with elevated inflammatory markers. Abdominal computerized tomography (CT) with oral water-soluble contrast media showed no extra-luminal leakage and no fluid collection adjacent to the resected stomach, other than the fluid collection in the right subhepatic space. Percutaneous drainage was attempted, but the procedure failed due to the patient’s thick abdominal wall. After two weeks of weight loss of about 12 kg, percutaneous drainage was successfully performed, and <i>A. odontolyticus</i> was identified through pus culture. After effective abscess drainage and high-dose antibiotics, the patient’s symptoms improved and the abscess pocket disappeared. We reported <i>Actinomyces</i> infection after gastric sleeve surgery. In the case of abscess formation after gastric sleeve surgery caused by actinomycete infection, antibiotic treatment and percutaneous drainage are effective together.https://www.mdpi.com/1648-9144/59/9/1516actinomycosislaparoscopic sleeve gastrectomypercutaneous drainage |
| spellingShingle | Ho-Goon Kim Ho-Kyun Lee Eunkyu Park Abdominal Actinomycotic Abscess after Laparoscopic Sleeve Gastrectomy for Morbid Obesity: A Case Report Medicina actinomycosis laparoscopic sleeve gastrectomy percutaneous drainage |
| title | Abdominal Actinomycotic Abscess after Laparoscopic Sleeve Gastrectomy for Morbid Obesity: A Case Report |
| title_full | Abdominal Actinomycotic Abscess after Laparoscopic Sleeve Gastrectomy for Morbid Obesity: A Case Report |
| title_fullStr | Abdominal Actinomycotic Abscess after Laparoscopic Sleeve Gastrectomy for Morbid Obesity: A Case Report |
| title_full_unstemmed | Abdominal Actinomycotic Abscess after Laparoscopic Sleeve Gastrectomy for Morbid Obesity: A Case Report |
| title_short | Abdominal Actinomycotic Abscess after Laparoscopic Sleeve Gastrectomy for Morbid Obesity: A Case Report |
| title_sort | abdominal actinomycotic abscess after laparoscopic sleeve gastrectomy for morbid obesity a case report |
| topic | actinomycosis laparoscopic sleeve gastrectomy percutaneous drainage |
| url | https://www.mdpi.com/1648-9144/59/9/1516 |
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