Post laparoscopic sleeve gastrectomy portal vein thrombosis with venous mesenteric ischemia: a case report with literature review.

Autor: Al Wadaani HA; College of Medicine, King Faisal University, Al Ahsa, Saudi Arabia., Al Omar S; College of Medicine, King Faisal University, Al Ahsa, Saudi Arabia., AlRaihan J; College of Medicine, King Faisal University, Al Ahsa, Saudi Arabia., Alnajjar JS; College of Medicine, King Faisal University, Al Ahsa, Saudi Arabia., Elserougi M; Faculty of Medicine (Kasr Al-Aini), Cairo University, Egypt., Al Jabran H; General Surgery, Almoosa Specialist Hospital, Al Ahsa, Saudi Arabia.
Jazyk: angličtina
Zdroj: Journal of surgical case reports [J Surg Case Rep] 2024 Aug 21; Vol. 2024 (8), pp. rjae462. Date of Electronic Publication: 2024 Aug 21 (Print Publication: 2024).
DOI: 10.1093/jscr/rjae462
Abstrakt: Saudi Arabia's obesity prevalence is 19.2% among men and 21.4% among women. Treatment includes lifestyle modifications, medication, and bariatric surgery. Procedures reach up to 1200 annually in our center. Porto-mesenteric venous thrombosis associated with venous mesenteric ischemia and bowel necrosis is a rare complication that necessitates an early workup and management. A 29-year-old Saudi male underwent laparoscopic sleeve gastrectomy. Post-surgery, he experienced abdominal pain, nausea, and vomiting, exacerbated by eating and smoking. Abdomen computed tomography scans revealed engorged portal veins, congested mesenteric veins, and small bowel thickening. He underwent exploratory laparoscopy shifted to laparotomy with resection of an infarcted omentum and 1 m of jejunal small bowel loop, and was discharged postoperatively after 7 days. Porto-mesenteric venous thrombosis is a rare complication after laparoscopic sleeve gastrectomy, requiring early diagnosis and appropriate treatment. Patients present with non-specific symptoms, necessitating high suspicion for computed tomography recommendations.
Competing Interests: None declared.
(Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2024.)
Databáze: MEDLINE
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