Gul Waheed, Abbass Khurram, Qazi Arif M, Markert Ronald J, Barde Christopher J
Wright State University, Boonshoft School of Medicine, Dayton, OH, USA.
JSLS. 2012 Jan-Mar;16(1):166-8. doi: 10.4293/108680812X13291597716663.
Laparoscopic cholecystectomy is now the gold standard for the treatment of symptomatic cholelithiasis. Portal venous thrombosis after laparoscopic cholecystectomy is rare. We report a case of thrombosis of the portal venous system after laparoscopic cholecystectomy in a patient with a latent prothrombin gene mutation. An abdominal computed tomography and magnetic resonance angiogram of the abdomen revealed portal, superior mesenteric, and splenic vein thrombosis. Testing for coagulation disorders showed a heterozygous form of factor II (prothrombin) G20210A mutation. Because of its rarity, information regarding this complication is limited.
腹腔镜胆囊切除术现已成为治疗有症状胆结石的金标准。腹腔镜胆囊切除术后门静脉血栓形成较为罕见。我们报告一例在患有潜在凝血酶原基因突变的患者中，腹腔镜胆囊切除术后发生门静脉系统血栓形成的病例。腹部计算机断层扫描和腹部磁共振血管造影显示门静脉、肠系膜上静脉和脾静脉血栓形成。凝血功能障碍检测显示为凝血因子II（凝血酶原）G20210A杂合突变型。由于其罕见性，关于这种并发症的信息有限。
