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腹腔镜袖状胃切除术后脾-肠系膜门静脉轴血栓形成：一例罕见病例报告

Thrombosis of the spleno-mesentiric portal axis following laparoscopic sleeve gastrectomy: A rare case report.

作者信息

Alshreadah Saleh, Alotaibi Rasees, Aldabaeab Abdulaziz, Alhafid Ibrahim

机构信息

Department of Radiology, King Fahd Hospital of the University, Al Khobar, Saudi Arabia.

Department of Radiology, King Fahad Specialist Hospital, Dammam, Saudi Arabia.

出版信息

Int J Surg Case Rep. 2018;43:29-31. doi: 10.1016/j.ijscr.2018.02.007. Epub 2018 Feb 9.

DOI:10.1016/j.ijscr.2018.02.007
PMID:29438854
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5814379/
Abstract

INTRODUCTION

Mesenteric, splenic and portal veins thrombosis (MSPVT) is uncommon complication after sleeve gastrectomy.

CASE REPORT

A 38-year-old female underwent laparoscopic sleeve gastrectomy (LSG) for the treatment of morbid obesity, presented 4weeks later with epigastric pain. Computed tomography (CT) scan revealed superior mesenteric, splenic and the portal veins thrombosis.

CONCLUSION

MSPVT is a rare presentation after laparoscopic sleeve gastrectomy, which requires early diagnosis and management and it should be included in the differential diagnosis for unexplained abdominal symptoms after laparoscopic sleeve gastrectomy.

摘要

引言

肠系膜、脾静脉和门静脉血栓形成（MSPVT）是袖状胃切除术后不常见的并发症。

病例报告

一名38岁女性因病态肥胖接受了腹腔镜袖状胃切除术（LSG），4周后出现上腹部疼痛。计算机断层扫描（CT）显示肠系膜上静脉、脾静脉和门静脉血栓形成。

结论

MSPVT是腹腔镜袖状胃切除术后罕见的表现，需要早期诊断和处理，并且应纳入腹腔镜袖状胃切除术后不明原因腹部症状的鉴别诊断中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8a3/5814379/863cf5210d1d/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8a3/5814379/f299641f0b96/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8a3/5814379/863cf5210d1d/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8a3/5814379/f299641f0b96/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8a3/5814379/863cf5210d1d/gr2.jpg

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