Recurrent Abdominal Pain after Laparoscopic Appendectomy.
Laparoscopic surgical approaches, compared with open surgical approaches, provide comparable clinical outcomes, but lower complications. Unfortunately, a rare complication-portomesenteric vein thrombosis-had been reported after laparoscopic surgery. A 42-year-old woman was referred our hospital for recurrent abdominal pain after laparoscopic appendectomy from acute appendicitis. It was determined that abdominal pain was due to postoperative superior mesenteric vein thrombus. A six-month anticoagulation therapy is an excellent treatment for superior mesenteric vein thrombus . Therefore, physicians should be aware of portomesenteric vein thrombosis in patients with newly developed abdominal pain after successful laparoscopic surgical management.
Department of Internal Medicine, Kosin University College of Medicine, Busan, Korea.
Kwang Il
KI
Seo
Department of Internal Medicine, Kosin University College of Medicine, Busan, Korea.
Sung Eun
SE
Kim
Department of Internal Medicine, Kosin University College of Medicine, Busan, Korea.
Moo In
MI
Park
Department of Internal Medicine, Kosin University College of Medicine, Busan, Korea.
Seun Ja
SJ
Park
Department of Internal Medicine, Kosin University College of Medicine, Busan, Korea.
Won
W
Moon
Department of Internal Medicine, Kosin University College of Medicine, Busan, Korea.
Jae Hyun
JH
Kim
Department of Internal Medicine, Kosin University College of Medicine, Busan, Korea.
Kyoungwon
K
Jung
Department of Radiology, Kosin University College of Medicine, Busan, Korea.
Jung Gu
JG
Park
D015746:Abdominal Pain / Q000209:etiology*; D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D001062:Appendectomy / Q000009:adverse effects*; D001064:Appendicitis / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008642:Mesenteric Veins; D014057:Tomography, X-Ray Computed; D020246:Venous Thrombosis / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000188:drug therapy
D000925:Anticoagulants
Abdominal pain; Appendectomy; Laparoscopy; Mesenteric veins; Thrombus