Portomesenteric vein thrombosis (PMVT) post laparoscopic sleeve gastrectomy (LSG) is a rare but severe condition. According to studies, up to 10.9% of patients undergoing LSG may present with symptomatic or asymptomatic PMVT. The present article presents a case report of PMVT post LSG and summarizes the etiology and clinical presentation of PMVT, and emphasizes on its management.
Case Presentation A 40-year-old male patient who had undergone LSG presenting with continuous abdominal pain, nausea, and vomiting on the postoperative thirteenth day and diagnosed with segmental intestinal ischemia secondary to venous obstruction due to edematous and hemorrhagic congestion of small bowel with widespread thrombosed venous vessels. 1 Patient demographics Sex – Male Age – 40 years BMI – 47kg/m 2 Pre-operative investigations Coagulation status – Normal Platelet count – 2,18,000 Prothrombin time –…
