Portomesenteric Thrombosis Following Laparoscopic Bariatric Surgery

Goitein, David; Matter, Ibrahim; Raziel, Asnat; Keidar, Andrei; Hazzan, David; Rimon, Uri; Sakran, Nasser

doi:10.1001/jamasurg.2013.1053

Cited by 93 publications

(41 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…To the best of our knowledge, this is the first reported case of superior mesenteric venous thrombosis after surgery for abdominal sepsis. Intra-abdominal inflammation such as acute pancreatitis can lead to mesenteric venous thrombosis [1, 3, 5, 6]. In the present patient, we believe that inflammation due to intestinal perforation led to superior mesenteric venous thrombosis.…”

Section: Discussionmentioning

confidence: 57%

“…The etiologic factors associated with mesenteric venous thrombosis are varied, most commonly associated with coagulation disorders such as Factor V Leiden, protein C and protein S deficiencies, and antithrombin III deficiency [1–3, 5, 6]. In young women, oral-contraceptive use can lead to mesenteric venous thrombosis [1, 2, 6].…”

Section: Discussionmentioning

confidence: 99%

“…In young women, oral-contraceptive use can lead to mesenteric venous thrombosis [1, 2, 6]. Other etiologic factors include inflammatory conditions such as pancreatitis, intra-abdominal sepsis, cirrhosis, portal hypertension, neoplasms, and blunt abdominal trauma [1, 2, 5, 6]. …”

Section: Discussionmentioning

confidence: 99%

“…The most common symptom is unexplained abdominal pain. Abdominal distension, anorexia, diarrhea, and vomiting have also been associated with mesenteric venous thrombosis [1–3, 5]. Severe abdominal pain, fever, and peritoneal signs suggest intestinal infarction or perforation.…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Superior Mesenteric Venous Thrombosis after Laparoscopic Exploration for Small Bowel Obstruction

Katagiri¹,

Kunizaki²,

Shimaguchi³

et al. 2013

Case Reports in Surgery

View full text Add to dashboard Cite

Mesenteric venous thrombosis is a rare cause of intestinal ischemia which is potentially life-threatening because it can lead to intestinal infarction. Mesenteric venous thrombosis rarely develops after abdominal surgery and is usually associated with coagulation disorders. Associated symptoms are generally subtle or nonspecific, often resulting in delayed diagnosis. A 68-year-old woman underwent laparoscopic exploration for small bowel obstruction, secondary to adhesions. During the procedure, an intestinal perforation was identified and repaired. Postoperatively, the abdominal pain persisted and repeat exploration was undertaken. At repeat exploration, a perforation was identified in the small bowel with a surrounding abscess. After the second operation, the abdominal pain improved but anorexia persisted. Contrast enhanced abdominal computed tomography was performed which revealed superior mesenteric venous thrombosis. Anticoagulation therapy with heparin was started immediately and the thrombus resolved over the next 6 days. Although rare, this complication must be considered in patients after abdominal surgery with unexplained abdominal symptoms.

show abstract

Section: Discussionmentioning

confidence: 57%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Superior Mesenteric Venous Thrombosis after Laparoscopic Exploration for Small Bowel Obstruction

Katagiri¹,

Kunizaki²,

Shimaguchi³

et al. 2013

Case Reports in Surgery

View full text Add to dashboard Cite

show abstract

“…The absence of gastrectomy avoids dissection of the gastrosplenic ligament associated to a risk of vascular or splenic lesions. The more limited surgical trauma could decrease the risk of portomesenteric thrombosis reported after bariatric surgery including sleeve gastrectomy [21,22]. The absence of organ to extract limits the parietal trauma.…”

Section: Discussionmentioning

confidence: 99%