title: Case report: Renal infarction by paradoxical embolism through the patent foramen ovale as an unusual cause of post-operative abdominal pain after sleeve gastrectomy.
abstract: 50-year-old female presented with abdominal pain 9days post sleeve gastrectomy and was found to have acute renal infarction caused by paradoxical emboli through patent foramen ovale (PFO) as a cause of the renal infarction. Renal infarctions caused by paradoxical embolism are rare and have not been previously reported following surgery, bariatric surgery in particular. This report describes presentation, work up and management of a patient with renal infarct following bariatric surgery.
authors.affiliation: Department of Upper Gastrointestinal Surgery, Concord General Repatriation Hospital, Hospital Road, Concord, NSW 2137, Australia. Electronic address: khoma.a@gmail.com.
authors.forename: Oleksandr
authors.initials: O
authors.lastname: Khoma
authors.affiliation: Department of Upper Gastrointestinal Surgery, Concord General Repatriation Hospital, Hospital Road, Concord, NSW 2137, Australia. Electronic address: aravindsuppiah@hotmail.com.
authors.forename: Aravind
authors.initials: A
authors.lastname: Suppiah
authors.affiliation: Department of Upper Gastrointestinal Surgery, Concord General Repatriation Hospital, Hospital Road, Concord, NSW 2137, Australia. Electronic address: davidmartin72@hotmail.com.
authors.forename: David
authors.initials: D
authors.lastname: Martin
keywords: Bariatric; Case report; Complication; Embolism; PFO; Renal infarct