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Case Presentation

Case Presentation. Bruce M Wolfe, MD Professor of Surgery Oregon Health & Science University. MS: 40 year old Female 392 pounds 5’4” BMI 67 LAGB 2005: “Difficult” 6 weeks first fill was difficult 2 weeks later port infection - removed. Recurrent wound sepsis

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Case Presentation

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  1. Case Presentation Bruce M Wolfe, MD Professor of Surgery Oregon Health & Science University

  2. MS: 40 year old Female • 392 pounds • 5’4” • BMI 67 • LAGB 2005: “Difficult” • 6 weeks first fill was difficult • 2 weeks later port infection - removed

  3. Recurrent wound sepsis • Multiple operative procedures at two additional facilities • OHSU 2+ year post LAGB • Continued purulence from LUQ incision, tubing in abdominal wall per CT • Debridement, excision of tubing

  4. 4 year post LAGB requests new port • BMI 67, T2DM, OSA • Plan: Laparoscopy to retrieve tubing, endoscopy to r/o erosion, new port

  5. Operative finding: dense adhesions LUQ • Conversion to open, retrieve tubing • Connect new port, flush returns thin brown fluid • Gram stain: G- rods

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