Spontaneous splenic rupture two days after laparoscopic sleeve gastrectomy

Abstract

Introduction Sleeve gastrectomy is a common bariatric procedure to manage morbid obesity. Splenic injury such as splenic rupture after sleeve gastrectomy is a rare complication which can be treated both with a splenectomy or conservative approach, called spleen-preserving surgery. Patients and methods A 42 year old male, in whom we performed a sleeve gastrectomy, presented with splenic rupture, within 48 hours postoperative, for which spleen-preserving surgery was performed. As splenic rupture is a very rare complication, we performed an extensive literature search in PubMed database. After obtaining patient informed consent, we aim to describe a sixth presentation of this rare surgical complication. Result To the best of our knowledge, only five cases of splenic rupture after laparoscopic sleeve gastrectomy have been described before, all treated with a splenectomy. Furthermore, we are the first to describe spleen-preserving surgery. Conclusion We present the sixth case of spontaneous splenic rupture after laparoscopic sleeve gastrectomy, and the first to treat it with spleen-preserving surgery.