Al Wadaani Hamid Abdulla, Al Omar Sarah, AlRaihan Jawaher, Alnajjar Jawad S, Elserougi Mohamed, Al Jabran Hussain
College of Medicine, King Faisal University, Al Ahsa, Saudi Arabia.
Faculty of Medicine (Kasr Al-Aini), Cairo University, Egypt.
J Surg Case Rep. 2024 Aug 21;2024(8):rjae462. doi: 10.1093/jscr/rjae462. eCollection 2024 Aug.
Saudi Arabia's obesity prevalence is 19.2% among men and 21.4% among women. Treatment includes lifestyle modifications, medication, and bariatric surgery. Procedures reach up to 1200 annually in our center. Porto-mesenteric venous thrombosis associated with venous mesenteric ischemia and bowel necrosis is a rare complication that necessitates an early workup and management. A 29-year-old Saudi male underwent laparoscopic sleeve gastrectomy. Post-surgery, he experienced abdominal pain, nausea, and vomiting, exacerbated by eating and smoking. Abdomen computed tomography scans revealed engorged portal veins, congested mesenteric veins, and small bowel thickening. He underwent exploratory laparoscopy shifted to laparotomy with resection of an infarcted omentum and 1 m of jejunal small bowel loop, and was discharged postoperatively after 7 days. Porto-mesenteric venous thrombosis is a rare complication after laparoscopic sleeve gastrectomy, requiring early diagnosis and appropriate treatment. Patients present with non-specific symptoms, necessitating high suspicion for computed tomography recommendations.
沙特阿拉伯男性肥胖患病率为19.2%，女性为21.4%。治疗方法包括生活方式改变、药物治疗和减肥手术。我们中心每年进行的手术多达1200例。与肠系膜静脉缺血和肠坏死相关的门静脉肠系膜静脉血栓形成是一种罕见的并发症，需要早期检查和处理。一名29岁的沙特男性接受了腹腔镜袖状胃切除术。术后，他出现腹痛、恶心和呕吐，进食和吸烟会加重症状。腹部计算机断层扫描显示门静脉充血、肠系膜静脉淤血和小肠增厚。他接受了 exploratory laparoscopy（此处可能有误，推测为探查性腹腔镜检查），后转为剖腹手术，切除了梗死的大网膜和1米长的空肠小肠袢，并在术后7天出院。门静脉肠系膜静脉血栓形成是腹腔镜袖状胃切除术后一种罕见的并发症，需要早期诊断和适当治疗。患者表现为非特异性症状，因此对于计算机断层扫描建议需要高度怀疑。
