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Review
. 2024;17(2):211-216.
doi: 10.1159/000536359. Epub 2024 Jan 19.

Mesenteric Vein Thrombosis following Sleeve Gastrectomy: A Case Report and Review of the Literature

Tianyi Ma  1 , Hongwei Zhao  2 , Qian Zhang  2 , Peng Zhang  2
Affiliations
Review

Mesenteric Vein Thrombosis following Sleeve Gastrectomy: A Case Report and Review of the Literature

Tianyi Ma et al. Obes Facts. 2024.

Abstract

Introduction: Acute mesenteric ischemia (AMI) is a rare but lethal disease. Mesenteric vein thrombosis (VAMI) is a subtype of AMI. Morbid obesity is usually accompanied by hypertension, hyperlipidemia, or diabetes mellitus, which are risk factors associated with AMI.

Case presentation: We present a 28-year-old man with VAMI post-laparoscopic sleeve gastrectomy. He was first misdiagnosed with intestinal obstruction. Superior VAMI was confirmed after computed tomography angiography. Laparotomy, resection of the necrotic small bowel, and ostomy were performed immediately.

Conclusion: Patients with morbid obesity accompanied by hypertension, hyperlipidemia, or diabetes mellitus have a high risk of AMI. Abdominal pain with sudden onset should be considered AMI. Anticoagulation therapy post-sleeve gastrectomy might help reduce the incidence of AMI.

Keywords: Laparoscopic sleeve gastrectomy; Mesenteric vein thrombosis; Morbid obesity.

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Conflict of interest statement

The authors declare that they have no conflict of interest.

Figures

Fig. 1.
Fig. 1.
CTA on POD 24. Thrombosis in the portal vein.
Fig. 2.
Fig. 2.
Necrotic bowel on POD 24.
Fig. 3.
Fig. 3.
CTA on POD 39. The portal vein without thrombosis.
See this image and copyright information in PMC

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