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Portomesenteric venous thrombosis: A rare but probably under-reported complication of laparoscopic surgery: A case series

Portomesenteric venous thrombosis (PMVT) is a rare but well-reported complication following laparoscopic surgery. We present three cases of PMVT following laparoscopic surgery. Our first case is a 71-year-old morbidly obese woman admitted for elective laparoscopic giant hiatus hernia (LGHH) repair....

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Autores principales: Goh, Yan Mei, Tokala, Ajay, Hany, Tarek, Pursnani, Kishore G., Date, Ravindra S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5363122/
https://www.ncbi.nlm.nih.gov/pubmed/28281480
http://dx.doi.org/10.4103/0972-9941.195582
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author Goh, Yan Mei
Tokala, Ajay
Hany, Tarek
Pursnani, Kishore G.
Date, Ravindra S.
author_facet Goh, Yan Mei
Tokala, Ajay
Hany, Tarek
Pursnani, Kishore G.
Date, Ravindra S.
author_sort Goh, Yan Mei
collection PubMed
description Portomesenteric venous thrombosis (PMVT) is a rare but well-reported complication following laparoscopic surgery. We present three cases of PMVT following laparoscopic surgery. Our first case is a 71-year-old morbidly obese woman admitted for elective laparoscopic giant hiatus hernia (LGHH) repair. Post-operatively, she developed multi-organ dysfunction and computed tomography scan revealed portal venous gas and extensive small bowel infarct. The second patient is a 51-year-old man with known previous deep venous thrombosis who also had elective LGHH repair. He presented 8 weeks post-operatively with severe abdominal pain and required major bowel resection. Our third case is an 86-year-old woman who developed worsening abdominal tenderness 3 days after laparoscopic right hemicolectomy for adenocarcinoma and was diagnosed with an incidental finding of thrombus in the portal vein. She did not require further surgical intervention. The current guidelines for thromboprophylaxis follow-up in this patient group may not be adequate for the patients at risk. Hence, we propose prolonged period of thromboprophylaxis in the patients undergoing major laparoscopic surgery.
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spelling pubmed-53631222017-04-12 Portomesenteric venous thrombosis: A rare but probably under-reported complication of laparoscopic surgery: A case series Goh, Yan Mei Tokala, Ajay Hany, Tarek Pursnani, Kishore G. Date, Ravindra S. J Minim Access Surg Unusual Case Portomesenteric venous thrombosis (PMVT) is a rare but well-reported complication following laparoscopic surgery. We present three cases of PMVT following laparoscopic surgery. Our first case is a 71-year-old morbidly obese woman admitted for elective laparoscopic giant hiatus hernia (LGHH) repair. Post-operatively, she developed multi-organ dysfunction and computed tomography scan revealed portal venous gas and extensive small bowel infarct. The second patient is a 51-year-old man with known previous deep venous thrombosis who also had elective LGHH repair. He presented 8 weeks post-operatively with severe abdominal pain and required major bowel resection. Our third case is an 86-year-old woman who developed worsening abdominal tenderness 3 days after laparoscopic right hemicolectomy for adenocarcinoma and was diagnosed with an incidental finding of thrombus in the portal vein. She did not require further surgical intervention. The current guidelines for thromboprophylaxis follow-up in this patient group may not be adequate for the patients at risk. Hence, we propose prolonged period of thromboprophylaxis in the patients undergoing major laparoscopic surgery. Medknow Publications & Media Pvt Ltd 2017 /pmc/articles/PMC5363122/ /pubmed/28281480 http://dx.doi.org/10.4103/0972-9941.195582 Text en Copyright: © 2017 Journal of Minimal Access Surgery http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Unusual Case
Goh, Yan Mei
Tokala, Ajay
Hany, Tarek
Pursnani, Kishore G.
Date, Ravindra S.
Portomesenteric venous thrombosis: A rare but probably under-reported complication of laparoscopic surgery: A case series
title Portomesenteric venous thrombosis: A rare but probably under-reported complication of laparoscopic surgery: A case series
title_full Portomesenteric venous thrombosis: A rare but probably under-reported complication of laparoscopic surgery: A case series
title_fullStr Portomesenteric venous thrombosis: A rare but probably under-reported complication of laparoscopic surgery: A case series
title_full_unstemmed Portomesenteric venous thrombosis: A rare but probably under-reported complication of laparoscopic surgery: A case series
title_short Portomesenteric venous thrombosis: A rare but probably under-reported complication of laparoscopic surgery: A case series
title_sort portomesenteric venous thrombosis: a rare but probably under-reported complication of laparoscopic surgery: a case series
topic Unusual Case
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5363122/
https://www.ncbi.nlm.nih.gov/pubmed/28281480
http://dx.doi.org/10.4103/0972-9941.195582
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