Presentation
Sleeve surgery two years ago followed by long-term history of fevers and chills. The patient was a known case of Wilson disease.
Patient Data
status post gastric sleeve operation
splenomegaly associated with a large splenorenal shunt draining portal venous blood into the left extra-hilar main renal vein
hypodense gas containing collection/abscess in the left upper quadrant and next to the spleen parenchyma
Case Discussion
Sleeve gastrectomy is a bariatric surgical procedure involving resection of the greater curvature of the fundus and body of the stomach.
The patient presented with a long-term history of fever and chills after a sleeve gastrectomy two years ago. The clinical presentation and CT features are in keeping with localized fluid collection or abscess in the left upper quadrant.
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