A case of multiple liver abscesses after laparoscopic sleeve gastrectomy

Laparoscopic Sleeve Gastrectomy is the most common weight loss surgery and at the same time one of the safest. However, like any other surgery, it carries significant risks and complications. One of these complications isliver abscess. This article presents a clinical case of a 36-year-old patient who developed multiple liver abscesses one month after laparoscopic sleeve gastrectomy. The patient’s medical history, surgery details, postoperative course, symptoms and diagnostic tests are described. Liver abscess is a rare but very serious complication after sleeve gastrectomy. The etiology of this complication is still a subject of debate. We can only assume that the most likely causes ofliver abscess are intra-abdominal bleeding with hematoma formation and its subsequent infection or failure of the stapler suture line in the early postoperative period. Computed tomography with intravenous contrast is the preferred method for diagnosing this complication, especially in patients with fever, rapid heartbeat, and abdominal pain. Currently, the most effective and safe method for treating localized purulent liver diseases is percutaneous puncture and drainage of the abscess under ultrasound or CT navigation, followed by intravenous antibiotics for 4-6 weeks. This treatment strategy has proven its effectiveness in many studies. Our clinical case was no exception. The purpose of this article is to raise awareness among surgeons about this rare complication and emphasize the importance of early diagnosis and treatment.