Portomesenteric Vein Thrombosis, Bowel Gangrene, and Bilateral Pulmonary Artery Embolism Two Weeks after Laparoscopic Sleeve Gastrectomy

Sleeve gastrectomy and gastric bypass surgery are popular and effective options for weight loss surgery. Portomesenteric vein thrombosis (PMVT) is a documented but rare complication of bariatric surgery. Proper surgical technique, careful postoperative prophylaxis, and early mobilization are essenti...

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Main Authors: David G. Darcy, Ali H. Charafeddine, Jenny Choi, Diego Camacho
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2015/705610
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author David G. Darcy
Ali H. Charafeddine
Jenny Choi
Diego Camacho
author_facet David G. Darcy
Ali H. Charafeddine
Jenny Choi
Diego Camacho
author_sort David G. Darcy
collection DOAJ
description Sleeve gastrectomy and gastric bypass surgery are popular and effective options for weight loss surgery. Portomesenteric vein thrombosis (PMVT) is a documented but rare complication of bariatric surgery. Proper surgical technique, careful postoperative prophylaxis, and early mobilization are essential to prevent this event. The diagnosis of PMVT in the postoperative period requires a high index of suspicion and early directed intervention to prevent a possibly fatal outcome. We present a case of PMVT complicated by small bowel ischemia resulting in gangrene that necessitated resection.
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institution Kabale University
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language English
publishDate 2015-01-01
publisher Wiley
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series Case Reports in Surgery
spelling doaj-art-3f5a9faba8d24b808d42333fe11779b42025-02-03T06:06:56ZengWileyCase Reports in Surgery2090-69002090-69192015-01-01201510.1155/2015/705610705610Portomesenteric Vein Thrombosis, Bowel Gangrene, and Bilateral Pulmonary Artery Embolism Two Weeks after Laparoscopic Sleeve GastrectomyDavid G. Darcy0Ali H. Charafeddine1Jenny Choi2Diego Camacho3Department of Surgery, Montefiore Medical Center, New York, NY 10467, USADepartment of Surgery, Montefiore Medical Center, New York, NY 10467, USADepartment of Surgery, Montefiore Medical Center, New York, NY 10467, USADepartment of Surgery, Montefiore Medical Center, New York, NY 10467, USASleeve gastrectomy and gastric bypass surgery are popular and effective options for weight loss surgery. Portomesenteric vein thrombosis (PMVT) is a documented but rare complication of bariatric surgery. Proper surgical technique, careful postoperative prophylaxis, and early mobilization are essential to prevent this event. The diagnosis of PMVT in the postoperative period requires a high index of suspicion and early directed intervention to prevent a possibly fatal outcome. We present a case of PMVT complicated by small bowel ischemia resulting in gangrene that necessitated resection.http://dx.doi.org/10.1155/2015/705610
spellingShingle David G. Darcy
Ali H. Charafeddine
Jenny Choi
Diego Camacho
Portomesenteric Vein Thrombosis, Bowel Gangrene, and Bilateral Pulmonary Artery Embolism Two Weeks after Laparoscopic Sleeve Gastrectomy
Case Reports in Surgery
title Portomesenteric Vein Thrombosis, Bowel Gangrene, and Bilateral Pulmonary Artery Embolism Two Weeks after Laparoscopic Sleeve Gastrectomy
title_full Portomesenteric Vein Thrombosis, Bowel Gangrene, and Bilateral Pulmonary Artery Embolism Two Weeks after Laparoscopic Sleeve Gastrectomy
title_fullStr Portomesenteric Vein Thrombosis, Bowel Gangrene, and Bilateral Pulmonary Artery Embolism Two Weeks after Laparoscopic Sleeve Gastrectomy
title_full_unstemmed Portomesenteric Vein Thrombosis, Bowel Gangrene, and Bilateral Pulmonary Artery Embolism Two Weeks after Laparoscopic Sleeve Gastrectomy
title_short Portomesenteric Vein Thrombosis, Bowel Gangrene, and Bilateral Pulmonary Artery Embolism Two Weeks after Laparoscopic Sleeve Gastrectomy
title_sort portomesenteric vein thrombosis bowel gangrene and bilateral pulmonary artery embolism two weeks after laparoscopic sleeve gastrectomy
url http://dx.doi.org/10.1155/2015/705610
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AT alihcharafeddine portomesentericveinthrombosisbowelgangreneandbilateralpulmonaryarteryembolismtwoweeksafterlaparoscopicsleevegastrectomy
AT jennychoi portomesentericveinthrombosisbowelgangreneandbilateralpulmonaryarteryembolismtwoweeksafterlaparoscopicsleevegastrectomy
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