PDF(Pubmed)
Abstract：
BACKGROUND: Obesity is a serious situation that leads to non-communicable diseases like diabetes, hypertension, and others. The prevalence of obesity is growing very fast worldwide, so follow the results bariatric surgery, the most effective treatment of obesity, is increasing. Portomesentric vein thrombosis (PMVT) is one of the rare, fatal post-bariatric complications seen most commonly in sleeve gastrectomy and Roux-en-Y gastric bypass.
METHODS: A 50-year-old menopausal female with a body mass index (BMI) of 38 was admitted with acute abdominal pain 10 days after one-anastomosis gastric bypass (OAGB). Her lab tests were normal, but in her abdominal CT scan with IV contrast, subacute complete intraluminal thrombosis with luminal expansion at the left branch of the portal vein and its segmental branches was seen. Her diagnostic laparoscopy was normal, and she was discharged with no symptoms and a prescription for rivaroxaban.
CONCLUSIONS: PMVT is one of the complications after bariatric surgery that is very uncommon and fetal. It has been seen more in laparoscopic sleeve gastrectomy and Roux-en-Y gastric bypass, and early diagnosis of PMVT is essential due to its high mortality rate and cause of gastrointestinal ischemia.
CONCLUSIONS: In this case report, we saw that PMVT could happen after OAGB, and it is important to consider PMVT as one of the complications after OAGB to not miss the cases.
METHODS: A 50-year-old menopausal female with a body mass index (BMI) of 38 was admitted with acute abdominal pain 10 days after one-anastomosis gastric bypass (OAGB). Her lab tests were normal, but in her abdominal CT scan with IV contrast, subacute complete intraluminal thrombosis with luminal expansion at the left branch of the portal vein and its segmental branches was seen. Her diagnostic laparoscopy was normal, and she was discharged with no symptoms and a prescription for rivaroxaban.
CONCLUSIONS: PMVT is one of the complications after bariatric surgery that is very uncommon and fetal. It has been seen more in laparoscopic sleeve gastrectomy and Roux-en-Y gastric bypass, and early diagnosis of PMVT is essential due to its high mortality rate and cause of gastrointestinal ischemia.
CONCLUSIONS: In this case report, we saw that PMVT could happen after OAGB, and it is important to consider PMVT as one of the complications after OAGB to not miss the cases.
摘要：
背景：肥胖是一种严重的情况，会导致糖尿病等非传染性疾病，高血压,和其他人。肥胖的患病率在世界范围内增长非常快，所以遵循减肥手术的结果，最有效的肥胖症治疗方法,正在增加。门静脉中心性静脉血栓(PMVT)是一种罕见的,致命性减肥后并发症最常见于袖状胃切除术和Roux-en-Y胃旁路术。
方法：一名50岁的绝经女性，体重指数（BMI）为38，在一次吻合胃旁路术（OAGB）后10天因急性腹痛入院。她的实验室检查正常，但是在她的腹部CT扫描和静脉造影中，可见亚急性完全性腔内血栓形成，门静脉左分支及其节段分支腔扩张。她的诊断性腹腔镜检查正常,她出院了，没有任何症状和利伐沙班的处方。
结论：PMVT是减肥手术后非常罕见且为胎儿的并发症之一。在腹腔镜袖状胃切除术和Roux-en-Y胃旁路术中观察到更多，由于PMVT的高死亡率和胃肠道缺血的原因，因此早期诊断至关重要。
结论：在本案例报告中，我们看到PMVT可能发生在OAGB之后，重要的是要考虑PMVT作为OAGB后的并发症之一，不要错过病例。
方法：一名50岁的绝经女性，体重指数（BMI）为38，在一次吻合胃旁路术（OAGB）后10天因急性腹痛入院。她的实验室检查正常，但是在她的腹部CT扫描和静脉造影中，可见亚急性完全性腔内血栓形成，门静脉左分支及其节段分支腔扩张。她的诊断性腹腔镜检查正常,她出院了，没有任何症状和利伐沙班的处方。
结论：PMVT是减肥手术后非常罕见且为胎儿的并发症之一。在腹腔镜袖状胃切除术和Roux-en-Y胃旁路术中观察到更多，由于PMVT的高死亡率和胃肠道缺血的原因，因此早期诊断至关重要。
结论：在本案例报告中，我们看到PMVT可能发生在OAGB之后，重要的是要考虑PMVT作为OAGB后的并发症之一，不要错过病例。
