Unusual complication of multiple splenic abscesses arising from a feeding jejunostomy tube subsequent to total gastrectomy: A case report and literature review

An,Shuchang; Li,Bing; Cui,Rong; Yan,Feng; Yang,Guoshan; Zhao,Li; Zhang,Zhenya; Wang,Ruiqin

doi:10.3892/ol.2015.3007

May-2015 Volume 9 Issue 5

Full Size Image

Journals

International Journal of Molecular Medicine

International Journal of Molecular Medicine is an international journal devoted to molecular mechanisms of human disease.

International Journal of Oncology

International Journal of Oncology is an international journal devoted to oncology research and cancer treatment.

Molecular Medicine Reports

Covers molecular medicine topics such as pharmacology, pathology, genetics, neuroscience, infectious diseases, molecular cardiology, and molecular surgery.

Oncology Reports

Oncology Reports is an international journal devoted to fundamental and applied research in Oncology.

Experimental and Therapeutic Medicine

Experimental and Therapeutic Medicine is an international journal devoted to laboratory and clinical medicine.

Oncology Letters

Oncology Letters is an international journal devoted to Experimental and Clinical Oncology.

Biomedical Reports

Explores a wide range of biological and medical fields, including pharmacology, genetics, microbiology, neuroscience, and molecular cardiology.

Molecular and Clinical Oncology

International journal addressing all aspects of oncology research, from tumorigenesis and oncogenes to chemotherapy and metastasis.

World Academy of Sciences Journal

Multidisciplinary open-access journal spanning biochemistry, genetics, neuroscience, environmental health, and synthetic biology.

International Journal of Functional Nutrition

Open-access journal combining biochemistry, pharmacology, immunology, and genetics to advance health through functional nutrition.

International Journal of Epigenetics

Publishes open-access research on using epigenetics to advance understanding and treatment of human disease.

Medicine International

An International Open Access Journal Devoted to General Medicine.

May-2015 Volume 9 Issue 5

Full Size Image

Case Report

Unusual complication of multiple splenic abscesses arising from a feeding jejunostomy tube subsequent to total gastrectomy: A case report and literature review

Authors:
- Shuchang An
- Bing Li
- Rong Cui
- Feng Yan
- Guoshan Yang
- Li Zhao
- Zhenya Zhang
- Ruiqin Wang
View Affiliations / Copyright

Affiliations: Department of Respiratory Medicine, First Hospital of Tsinghua University, Beijing 100016, P.R. China, Department of General Surgery, First Hospital of Tsinghua University, Beijing 100016, P.R. China
Pages: 2398-2400
|
Published online on: March 3, 2015

https://doi.org/10.3892/ol.2015.3007
Expand metrics +

Abstract

Splenic abscess is a rare clinical entity. The present study reports a case of a patient that suffered from splenic abscess secondary to septicemia resulting from Klebsiella pneumoniae infection following the removal of the feeding jejunostomy tube that was utilized subsequent to the patient undergoing total gastrectomy as part of the treatment regimen for gastric adenocarcinoma. The early clinical presentation was nonspecific and multiple splenic abscesses were subsequently identified. To reduce the risks of an additional surgical procedure in this particular patient, laparoscopic assisted splenotomy and catheter drainage were performed. Due to the severe complications that occurred in the present patient, no adjuvant chemotherapy was administered. Therefore, the unusual complication of splenic abscess subsequent to total gastrectomy should be noted, and the routine feeding jejunostomy tube placement at the time of total gastrectomy should be discussed and re‑assessed.

View Figures

View References

1	Gil-Rendo A, Hernandez-Lizoain JL, Martinez-Regueira F, et al: Risk factors related to operative morbidity in patients undergoing gastrectomy for gastric cancer. Clin Transl Oncol. 8:354–361. 2006. View Article : Google Scholar : PubMed/NCBI
2	Songun I, Putter H, Kranenbarg EM, Sasako M and van de Velde CJ: Surgical treatment of gastric cancer: 15–year follow-up results of the randomized nationwide Dutch D1D2 trial. Lancet Oncol. 11:439–449. 2010. View Article : Google Scholar : PubMed/NCBI
3	No authors listed: Perioperative total parenteral nutrition in surgical patients. The Veterans Affairs Total Parenteral Nutrition Cooperative Study Group. N Engl J Med. 325:525–532. 1991.PubMed/NCBI
4	Chin KF, Townsend S, Wong W and Miller GV: A prospective cohort study of feeding needle catheter jejunostomy in an upper gastrointestinal surgical unit. Clin Nutr. 23:691–696. 2004. View Article : Google Scholar : PubMed/NCBI
5	Llaguna OH, Kim HJ, Deal AM, Calvo BF, Stitzenberg KB and Meyers MO: Utilization and morbidity associated with placement of a feeding jejunostomy at the time of gastroesophageal resection. J Gastrointest Surg. 15:1663–1669. 2011. View Article : Google Scholar : PubMed/NCBI
6	Srinathan SK, Hamin T, Walter S, Tan AL, Unruh HW and Guyatt G: Jejunostomy tube feeding in patients undergoing esophagectomy. Can J Surg. 56:409–414. 2013. View Article : Google Scholar : PubMed/NCBI
7	Patel SH, Kooby DA, Staley CA III and Maithel SK: An assessment of feeding jejunostomy tube placement at the time of resection for gastric adenocarcinoma. J Surg Oncol. 107:728–734. 2013. View Article : Google Scholar : PubMed/NCBI
8	Sarr MG and Zuidema GD: Splenic abscess – presentation, diagnosis, and treatment. Surgery. 92:480–485. 1982.PubMed/NCBI
9	Tung CC, Chen FC and Lo CJ: Splenic abscess: an easily overlooked disease? Am Surg. 72:322–325. 2006.PubMed/NCBI
10	Llenas-Garcia J, Fernandez-Ruiz M, Caurcel L, Enguita-Valls A, Vila-Santos J and Guerra-Vales JM: Splenic abscess: a review of 22 cases in a single institution. Eur J Intern Med. 20:537–539. 2009. View Article : Google Scholar : PubMed/NCBI
11	Song FL, Lu LX, Li CX, Yu XZ and Li Y: A retrospective analysis of 19 splenic abscess patients. Zhonghua Nei Ke Za Zhi. 52:313–317. 2013.(In Chinese). PubMed/NCBI
12	Nelken N, Ignatius J, Skinner M and Christensen N: Changing clinical spectrum of splenic abscess. A multicenter study and review of the literature. Am J Surg. 154:27–34. 1987. View Article : Google Scholar : PubMed/NCBI
13	Green BT: Splenic abscess: report of six cases and review of the literature. Am Surg. 67:80–85. 2001.PubMed/NCBI
14	Ooi LL and Leong SS: Splenic abscesses from 1987 to 1995. Am J Surg. 174:87–93. 1997. View Article : Google Scholar : PubMed/NCBI
15	Martinez DG, Sanchez AW and Garcia AP: Splenic abscess after laparoscopic Nissen fundoplication: a consequence of short gastric vessel division. Surg Laparosc Endosc Percutan Tech. 18:82–85. 2008. View Article : Google Scholar : PubMed/NCBI
16	Stamou KM, Menenakos E, Gomatos IP, Panousopoulos SG, Smparounis S, Leandros E and Zografos G: Clinical implications of sleeve gastrectomy as a source of spleen infarction or ischemia. Obes Surg. 21:1490–1493. 2011. View Article : Google Scholar : PubMed/NCBI
17	Chang CJ, Su CW and Hou MC: Abdominal pain after endoscopic hemostasis of gastric tumor bleeding. Splenic infarction with abscess formation. Gastroenterology. 137:e7–e8. 2009. View Article : Google Scholar : PubMed/NCBI
18	Lee WS, Choi ST and Kim KK: Splenic abscess: a single institution study and review of the literature. Yonsei Med J. 52:288–292. 2011. View Article : Google Scholar : PubMed/NCBI
19	Chang KC, Chuah SK, Changchien CS, et al: Clinical characteristics and prognostic factors of splenic abscess: a review of 67 cases in a single medical center of Taiwan. World J Gastroenterol. 12:460–464. 2006.PubMed/NCBI
20	Feldman LS: Laparoscopic splenectomy: standardized approach. World J Surg. 35:1487–1495. 2011. View Article : Google Scholar : PubMed/NCBI

Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Unusual complication of multiple splenic abscesses arising from a feeding jejunostomy tube subsequent to total gastrectomy: A case report and literature review

This article is mentioned in:

Abstract

Figure 1

Figure 2

Related Articles