Portomesenteric vein thrombosis after laparoscopic sleeve gastrectomy for morbid obesity

Leslie S. Anewenah, Mohammed Asif, Richard Francesco, Prashanth Ramachandra

Research output: Contribution to journalArticle

Abstract

Portomesenteric vein thrombosis (PMVT) is a rare, lifethreatening 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.

Original languageEnglish (US)
Article numberbcr-2016-218264
JournalBMJ case reports
Volume2017
DOIs
StatePublished - 2017

ASJC Scopus subject areas

  • Medicine(all)

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