Seo Kwang Il, Kim Sung Eun, Park Moo In, Park Seun Ja, Moon Won, Kim Jae Hyun, Jung Kyoungwon, Park Jung Gu
Department of Internal Medicine, Kosin University College of Medicine, Busan, Korea.
Department of Radiology, Kosin University College of Medicine, Busan, Korea.
Korean J Gastroenterol. 2017 Mar 25;69(3):187-190. doi: 10.4166/kjg.2017.69.3.187.
Laparoscopic surgical approaches, compared with open surgical approaches, provide comparable clinical outcomes, but lower complications. Unfortunately, a rare complication-portomesenteric vein thrombosis-had been reported after laparoscopic surgery. A 42-year-old woman was referred our hospital for recurrent abdominal pain after laparoscopic appendectomy from acute appendicitis. It was determined that abdominal pain was due to postoperative superior mesenteric vein thrombus. A six-month anticoagulation therapy is an excellent treatment for superior mesenteric vein thrombus . Therefore, physicians should be aware of portomesenteric vein thrombosis in patients with newly developed abdominal pain after successful laparoscopic surgical management.
与开放手术方法相比，腹腔镜手术方法具有相当的临床疗效，但并发症较少。不幸的是，已有腹腔镜手术后发生罕见并发症——门静脉肠系膜静脉血栓形成的报道。一名42岁女性因急性阑尾炎行腹腔镜阑尾切除术后反复腹痛被转诊至我院。经诊断，腹痛是由术后肠系膜上静脉血栓形成所致。六个月的抗凝治疗是肠系膜上静脉血栓形成的一种有效治疗方法。因此，医生应警惕在腹腔镜手术成功后新发腹痛的患者中出现门静脉肠系膜静脉血栓形成。
