title: Portal vein thrombosis due to factor 2 leiden in the post-operative course of a laparoscopic sleeve gastrectomy for morbid obesity.
abstract: Portal vein thrombosis can occur after laparoscopic operations. This complication has not been yet reported after laparoscopic sleeve gastrectomy. We report the case of a patient who presented mild abdominal pains 2 weeks after a laparoscopic sleeve gastrectomy achieved to cure morbid obesity. Computed tomography led to the diagnosis of portal vein thrombosis bound to a genetic disorder due to heterozygote Leiden 2 factor which impaired coagulation. Recommendations for post-surgical follow-up are discussed.
authors.affiliation: Digestive Surgical Department, CHU Timone, 264 rue Saint Pierre, 13385, Marseille, France. bruno.berthet@ap-hm.fr
authors.forename: Bruno
authors.initials: B
authors.lastname: Berthet
authors.forename: Emilie
authors.initials: E
authors.lastname: Bollon
authors.forename: René
authors.initials: R
authors.lastname: Valero
authors.forename: Mehdi
authors.initials: M
authors.lastname: Ouaissi
authors.forename: Igor
authors.initials: I
authors.lastname: Sielezneff
authors.forename: Bernard
authors.initials: B
authors.lastname: Sastre
mesh_terms: D000328:Adult; D005260:Female; D005743:Gastrectomy / Q000009:adverse effects*; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D009767:Obesity, Morbid / Q000601:surgery*; D017354:Point Mutation; D011169:Portal Vein; D011183:Postoperative Complications; D011516:Prothrombin / Q000235:genetics*; D014057:Tomography, X-Ray Computed; D020246:Venous Thrombosis / Q000000981:diagnostic imaging / Q000201:enzymology / Q000209:etiology*
chemical_list: D011516:Prothrombin