The Upper Mesenteric Vein Thrombosis Following Upper GIT Robotic Surgery – A Case Review

Česká verzia

Authors: S. Blažej; S. Černohorský; F. Fidler; M. Čech ^*
Authors place of work: Chirurgické oddělení Nemocnice na Homolce, Praha, primář: MUDr. František Fidler ; Interní oddělení Nemocnice na Homolce, Praha, primář: MUDr. Robert Wohl ^*
Published in the journal: Rozhl. Chir., 2009, roč. 88, č. 3, s. 123-126.
Category: Monothematic special - Original

Summary

It is now recognized that occlusion of the mesenteric veins not only may complicate a number of disease processes but may occur as a life-threatening complication after abdominal surgery. 54-year old female patient with Leiden mutation that undergone bariatric operation after one month from the surgery rehospitalized and operated with the diagnosis of superior mesenteric vein thrombosis with unavoidable resection of the intestine. Patient’s state after surgery with following aggressive hematologic treatment becomes better. Mesenteric and portal vein flow is more fluent as showed by repeated CT angiography scans in comparison with pre-operative status. Patient currently on oral anticoagulant therapy.

Key words:
superior mesenteric vein thrombosis – small bowell ischemia and necrosis – Leiden mutation

Zdroje

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