J Metab Bariatr Surg.
2020 Jun;9(1):19-23. 10.17476/jmbs.2020.9.1.19.
Portomesenteric Vein Thrombosis after Laparoscopic Sleeve Gastrectomy: A Case Report
- Affiliations
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- 1Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Korea
- 2Division of Stomach Surgery, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Korea
- 3Seoul Slim Surgery, Seoul, Korea
- KMID: 2502931
- DOI: http://doi.org/10.17476/jmbs.2020.9.1.19
Abstract
- Portomesenteric vein thrombosis is an uncommon but potentially life-threatening complication associated with laparoscopic sleeve gastrectomy. We present the case of a 26-year-old male who underwent an uneventful laparoscopic sleeve gastrectomy and presented on postoperative day 14 with portomesenteric vein thrombosis. The patient was treated conservatively with IV heparinization, followed by an oral anticoagulant agent. He was discharged in stable condition without further problems. A high index of suspicion for the disease is required not to miss or delay the diagnosis of portomesenteric vein thrombosis which could lead to a fatal outcome. All patients should be screened beforehand for underlying hypercoagulability before surgery.
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