open access

Vol 18, No 1-2 (2016)
Case reports
Published online: 2017-06-13
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Portal vein thrombosis after sleeve gastrectomy in 32-year-old morbidly obese woman

Grzegorz Kowalski, Dominika Żądło, Jacek Gawrychowski
Chirurgia Polska 2016;18(1-2):24-27.

open access

Vol 18, No 1-2 (2016)
Case reports
Published online: 2017-06-13

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.

Get Citation

Keywords

obesity, sleeve gastrectomy, laparoscopy, portal vein thrombosis, abdominal pain

About this article
Title

Portal vein thrombosis after sleeve gastrectomy in 32-year-old morbidly obese woman

Journal

Chirurgia Polska (Polish Surgery)

Issue

Vol 18, No 1-2 (2016)

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

References (11)
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