Thrombosis of the spleno-mesentiric portal axis following laparoscopic sleeve gastrectomy: A rare case report
| Autor: | Rasees Alotaibi, Saleh Tawfeeq Alshreadah, Abdulaziz Aldabaeab, Ibrahim Alhafid |
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| Rok vydání: | 2018 |
| Předmět: |
Sleeve gastrectomy
medicine.medical_specialty medicine.medical_treatment 030204 cardiovascular system & hematology Epigastric pain Article 03 medical and health sciences 0302 clinical medicine medicine Obesity 060201 languages & linguistics Laparoscopic sleeve gastrectomy business.industry fungi food and beverages 06 humanities and the arts medicine.disease Portal vein thrombosis Thrombosis Surgery 0602 languages and literature cardiovascular system Presentation (obstetrics) Differential diagnosis Complication business |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| DOI: | 10.1016/j.ijscr.2018.02.007 |
| Popis: | Highlights • Mesenteric, splenic and portal veins thrombosis is a rare presentation after laparoscopic sleeve gastrectomy. • Abdominal pain after laparoscopic sleeve gastrectomy can be due to mesenteric, splenic and portal veins thrombosis. • Mesenteric, splenic and portal veins thrombosis can be managed properly with low-molecular-Wight heparin (LMWH, enoxaparin). Introduction Mesenteric, splenic and portal veins thrombosis (MSPVT) is uncommon complication after sleeve gastrectomy. Case report A 38-year-old female underwent laparoscopic sleeve gastrectomy (LSG) for the treatment of morbid obesity, presented 4 weeks later with epigastric pain. Computed tomography (CT) scan revealed superior mesenteric, splenic and the portal veins thrombosis. Conclusion MSPVT is a rare presentation after laparoscopic sleeve gastrectomy, which requires early diagnosis and management and it should be included in the differential diagnosis for unexplained abdominal symptoms after laparoscopic sleeve gastrectomy |
| Databáze: | OpenAIRE |
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