Portomesenteric Vein Thrombosis After Laparoscopic Sleeve Gastrectomy for Morbid Obesity

Overview

Journal BMJ Case Rep

Specialty General Medicine

Date 2017 Jan 11

PMID 28069786

Citations 1

Authors

Leslie S Anewenah

Mohammed Asif

Richard Francesco

Prashanth Ramachandra

Affiliations

Soon will be listed here.

Abstract

Portomesenteric vein thrombosis (PMVT) is a rare, life-threatening pathology associated with increased prevalence in laparoscopic sleeve gastrectomy (LSG) versus other gastric bypass procedures. Gaining popularity, LSG is becoming the first choice of patients and physicians alike due to its low complication profile compared to the gastric bypass procedure. We present the case of a 34-year-old woman who underwent an uncomplicated LSG for the treatment of morbid obesity, and presented on postoperative day 13 with PMVT. The patient underwent mechanical thrombectomy and thrombolytic therapy. After 2 days, patency was restored and the patient was discharged in stable condition. A high index of suspicion for PMVT should be considered in patients reporting diffuse abdominal pain after LSG. Owing to its lethality, upon confirmation of PMVT, therapy should begin immediately along with extended anticoagulation therapy on discharge.

Citing Articles

Case series: Portomesenteric venous thrombosis complicating laparoscopic bariatric procedures.

Bucheeri M, Abulsel A Int J Surg Case Rep. 2019; 62:126-131.

PMID: 31494457 PMC: 6734030. DOI: 10.1016/j.ijscr.2019.08.019.

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