Portal vein thrombosis due to factor 2 leiden in the post-operative course of a laparoscopic sleeve gastrectomy for morbid obesity.
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.
Berthet
Bruno
B
Digestive Surgical Department, CHU Timone, 264 rue Saint Pierre, 13385, Marseille, France. bruno.berthet@ap-hm.fr
Bollon
Emilie
E
Valero
René
R
Ouaissi
Mehdi
M
Sielezneff
Igor
I
Sastre
Bernard
B
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*
D011516:Prothrombin