open access
Portal vein thrombosis after sleeve gastrectomy in 32-year-old morbidly obese woman
open access
Abstract
Portal vein thrombosis after laparoscopic procedures is an uncommon complication, but potentially life threating. Possible etiologic factors include venous stasis due to increased intra-abdominal pressure, intraoperative manipulation, or damage to the splanchnic endothelium and systemic thrombophilia states. We describe a case of a 32 year old morbidly obese patient, qualified for surgical treatment of obesity. After a laparoscopic gastric resection — a sleeve gastrectomy — on the 20th day after hospital discharge, the patient was re-admitted to the surgical ward due to uncharacteristic abdominal pain, nausea, vomiting and increased cholestasis indicators. The patient was diagnosed with portal system thrombosis. Following the treatment the patient achieved complete remission of symptoms. Given a growing number of laparoscopic procedures, we may expect an increasing number of similar complications. This condition needs to be considered in patients with unexplained abdominal pain after several laparoscopic procedures.
Abstract
Portal vein thrombosis after laparoscopic procedures is an uncommon complication, but potentially life threating. Possible etiologic factors include venous stasis due to increased intra-abdominal pressure, intraoperative manipulation, or damage to the splanchnic endothelium and systemic thrombophilia states. We describe a case of a 32 year old morbidly obese patient, qualified for surgical treatment of obesity. After a laparoscopic gastric resection — a sleeve gastrectomy — on the 20th day after hospital discharge, the patient was re-admitted to the surgical ward due to uncharacteristic abdominal pain, nausea, vomiting and increased cholestasis indicators. The patient was diagnosed with portal system thrombosis. Following the treatment the patient achieved complete remission of symptoms. Given a growing number of laparoscopic procedures, we may expect an increasing number of similar complications. This condition needs to be considered in patients with unexplained abdominal pain after several laparoscopic procedures.
Keywords
obesity, sleeve gastrectomy, laparoscopy, portal vein thrombosis, abdominal pain
About this articleTitle
Portal vein thrombosis after sleeve gastrectomy in 32-year-old morbidly obese woman
Journal
Chirurgia Polska (Polish Surgery)
Issue
Pages
24-27
Published online
2017-06-13
Bibliographic record
Chirurgia Polska 2016;18(1-2):24-27.
Keywords
obesity
sleeve gastrectomy
laparoscopy
portal vein thrombosis
abdominal pain
Authors
Grzegorz Kowalski
Dominika Żądło
Jacek Gawrychowski
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