DOI: http://dx.doi.org/10.18203/2349-2902.isj20195135

Acute mesenteric venous thrombosis after laparoscopic sleeve gastrectomy: a case report and a literature review

Alaa Sedik, Fawaz Aleashed, Ahmed Fathi

Abstract


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. 


Keywords


Mesenteric thrombosis, Laparoscopic sleeve gastrectomy, Acute

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References


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