RESUMEN
Delayed gastrointestinal bleeding in the context of a gastric fistula is a very rare complication of longitudinal sleeve gastrectomy. We report the case of a patient who presented with massive gastrointestinal bleeding from a pseudoaneurysm arising from the splenic artery following complications after a longitudinal sleeve gastrectomy several months previously. The case was successfully managed with angiographic embolisation and we present our experience with recommendations for managing this rare but life-threatening complication.
Asunto(s)
Aneurisma Falso , Gastrectomía/efectos adversos , Fístula Gástrica , Hemorragia Gastrointestinal , Arteria Esplénica , Femenino , Humanos , Persona de Mediana Edad , Arteria Esplénica/diagnóstico por imagen , Arteria Esplénica/patología , Arteria Esplénica/cirugíaRESUMEN
Aortic stent graft infection is a rare but serious complication associated with high mortality. This report emphasizes the need for continued awareness of potential graft-related septic complications in patients undergoing Endovascular Aortic Repair (EVAR). We report a case in which a post-EVAR patient became unwell about 30 days post operatively and was shown on CT scanning to have a psoas abscess. The abscess was managed with percutaneous drainage and antibiotics. The patient remains well with no evidence of psoas collection or perigraft infection one year on. We review the available literature and discuss the merits of different management strategies.
