Portal Vein Thrombosis Due to Factor 2 Leiden in the Post-operative Course of a Laparoscopic Sleeve Gastrectomy for Morbid Obesity

Berthet, Bruno; Bollon, Emilie; Valero, René; Ouaissi, Mehdi; Sielezneff, Igor; Sastre, Bernard
October 2009
Obesity Surgery;Oct2009, Vol. 19 Issue 10, p1464
Academic Journal
Case Study
The article describes the case of a patient who presented with mild abdominal pains 2 weeks post laparoscopic sleeve gastrectomy. Computed tomography (CT) scan revealed portal vein thrombosis which was later diagnosed to be bound to a genetic disorder due to heterozygote Leiden 2 factor which impaired coagulation. The case suggests that enhanced contrast CT scan if performed in an appropriate timing in the post operative course of laparoscopic bariatric surgery remains the best diagnostic tool to diagnose portal vein thrombosis.


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