PDF(Pubmed)
Abstract：
Portal vein thrombosis is a rare complication after laparoscopic sleeve gastrectomy, a widely performed bariatric surgery procedure. Occasionally, the development of portal vein thrombosis can progress to more severe conditions, including portal hypertension and cavernomatosis, thereby presenting a complex and challenging clinical scenario. The management of such complications often requires careful consideration; however, surgical intervention in the form of a splenorenal shunt is an exceptional indication. We present the case of a 33-year-old female patient who had previously undergone laparoscopic sleeve gastrectomy in 2014 and subsequently developed portal thrombosis, followed by cavernomatosis and associated complications of portal hypertension. A proximal splenorenal shunt procedure and splenectomy were successfully performed to manage portal hypertension. The presentation of this clinical case aims to contribute to the available evidence and knowledge surrounding this rare and challenging pathology.
摘要：
门静脉血栓形成是腹腔镜袖状胃切除术后的罕见并发症，广泛进行的减肥手术。偶尔,门静脉血栓的发展可以进展到更严重的情况，包括门静脉高压症和海绵体瘤,从而提出了一个复杂和具有挑战性的临床方案。这种并发症的管理往往需要仔细考虑；然而，以脾肾分流术的形式进行手术干预是一种特殊的适应症。我们介绍了一名33岁的女性患者，该患者先前在2014年接受了腹腔镜袖状胃切除术，随后发生了门静脉血栓形成。其次是海绵体瘤病和门静脉高压症的相关并发症。成功进行了近端脾肾分流术和脾切除术以治疗门静脉高压症。此临床病例的介绍旨在为围绕这种罕见且具有挑战性的病理学提供可用的证据和知识。
