Acute mesenteric venous thrombosis after laparoscopic sleeve gastrectomy: a case report and a literature review
DOI:
https://doi.org/10.18203/2349-2902.isj20195135Keywords:
Mesenteric thrombosis, Laparoscopic sleeve gastrectomy, AcuteAbstract
Over the last decade, laparoscopic sleeve gastrectomy has become an increasingly popular surgical procedure for morbid obesity. Moreover, post-laparoscopic sleeve gastrectomy mesenteric venous thrombosis is very rarely reported. The presentation varies from mild non-specific abdominal symptoms to life threatening surgical emergency. Superior mesenteric vein thrombosis after bariatric surgery is a difficult diagnosis that needs a high index of suspicion. We report a case of thrombosis of the superior mesenteric vein, who presented as acute emergency to emergency room, shortly after sleeve gastrectomy. Patient underwent laparotomy and offered a resection of 60 cm of infarcted proximal jejunum with restoration of bowel continuity later. Patient subsequently recovered and followed several times in our outpatient and was free of symptoms.
Metrics
References
Rosenberg JM, Tedesco M, Yao DC, Eisenberg D. Portal vein thrombosis following laparoscopic sleeve gastrectomy for morbid obesity. JSLS. 2012;16:639–43.
Grendell JH, Ockner RK. Mesenteric venous thrombosis. Gastroenterol. 1982;82:358–72.
Steele KE, Schweitzer MA, Prokopowicz G, Shore AD, Eaton LC, Lidor AO, et al. The long-term risk of venous thromboembolism following bariatric surgery. Obes Surg. 2011;21:1371–6.
Goitein D, Matter I, Raziel A, Keidar A, Hazzan D, Rimon U, et al. Portomesenteric thrombosis following laparoscopic bariatric surgery: incidence, patterns of clinical presentation, and etiology in a bariatric patient population. JAMA Surg. 2013;148:340–6.
Ochner CN, Gibson C, Shanik M, Goel V, Geliebter A. Changes in neurohormonal gut peptides following bariatric surgery. Int J Obes. 2011;35:153–66.
Kumar S, Sarr MG, Kamath PS. Mesenteric venous thrombosis. N Engl J Med. 2001;345:1683–8.
Robbins MR, Comerota AJ, Pigott JP. Mesenteric venous thrombosis. Vasc Med. 2005;10:121–2.
Rosenberg JM, Tedesco M, Yao DC, Eisenberg D. Portal vein thrombosis following laparoscopic sleeve gastrectomy for morbid obesity. JSLS. 2012;16:639–43.
Kotzampassi K, Kapanidis N, Kazamias P, Eleftheriadis E. Hemodynamic events in the peritoneal environment during pneumoperitoneum in dogs. Surg Endosc. 1993;7:494–9.
Ay C, Tengler T, Vormittag R, Simanek R, Dorda W, Vukovich T, et al. Venous thromboembolism – a manifestation of the metabolic syndrome. Haematologica. 2007;92:374–80.
Gandhi K, Singh P, Sharma M, Desai H, Nelson J, Kaul A. Mesenteric vein thrombosis after laparoscopic gastric sleeve procedure. J Thromb Thrombolysis. 2010;30:179–83.
Sarin SK, Sollano JD, Chawla YK, Amarapurkar D, Hamid S, Hashizume M, et al. Consensus on extra-hepatic portal vein bstruction. Liver Int. 2006;26:512–9.
Condat B, Pessione F, Hillaire S, Denninger MH, Guillin MC, Poliquin M, et al. Current outcome of portal vein thrombosis in adults: risk and benefit of anticoagulant therapy. Gastroenterol. 2001;120:490–7.
Bhatia P, John SJ, Kalhan S, Bindal V. Portomesenteric venous thrombosis after laparoscopic sleeve gastrectomy: A case report and a call for prevention. J Minim Access Surg. 2015;11:276–8.
Bartlett MA, Mauck KF, Daniels PR. Prevention of venous thromboembolism in patients undergoing bariatric surgery. Vasc Health Risk Manag. 2015;11:461–77.
Bhatia P, John SJ, Kalhan S, Bindal V. Portomesenteric venous thrombosis after laparoscopic sleeve gastrectomy: A case report and a call for prevention. J Minim Access Surg. 2015;11:276–8.
Cho YP, Jung SM, Han MS, Jang HJ, Kim JS, Kim YH, et al. Role of diagnostic laparoscopy in managing acute mesenteric venous thrombosis. Surg Laparosc Endosc Percutan Tech. 2003;13:215–7.
Downloads
Published
How to Cite
Issue
Section
