The Upper Mesenteric Vein Thrombosis Following Upper GIT Robotic Surgery – A Case Review

Czech version

Authors: S. Blažej; S. Černohorský; F. Fidler; M. Čech ^*
Authors‘ workplace: Chirurgické oddělení Nemocnice na Homolce, Praha, primář: MUDr. František Fidler ; Interní oddělení Nemocnice na Homolce, Praha, primář: MUDr. Robert Wohl ^*
Published in: Rozhl. Chir., 2009, roč. 88, č. 3, s. 123-126.
Category: Monothematic special - Original

Overview

It is now recognized that occlusion of the mesenteric veins not only may complicate a number of disease processes but may occur as a life-threatening complication after abdominal surgery. 54-year old female patient with Leiden mutation that undergone bariatric operation after one month from the surgery rehospitalized and operated with the diagnosis of superior mesenteric vein thrombosis with unavoidable resection of the intestine. Patient’s state after surgery with following aggressive hematologic treatment becomes better. Mesenteric and portal vein flow is more fluent as showed by repeated CT angiography scans in comparison with pre-operative status. Patient currently on oral anticoagulant therapy.

Key words:
superior mesenteric vein thrombosis – small bowell ischemia and necrosis – Leiden mutation

Sources

1. Bertina, R. M., Koelemann, B. P. C., Koster, T., et al. Mutation in blood coagulation factor V associated with resistance to activated protein C. Nature, 369, 1994, s. 64–67.

2. Hollingshead, M., Burke, C. T., Mauro, M., Weeks, S. M., Dixon, R. G., Jaques, P. F. Transcatheter Thrombolytic Therapy for Acute Mesenteric and Portal Vein Thrombosis. J. Vasc. Interv. Radiol., 2005; 16: 651–661.

3. Matýšková, M., Vorlová, Z., Bulíková, A., Zavřelová, J., Šlechtová, M. Klinické nálezy u jedinců s Leidenskou mutací faktoru V. Vnitřní lékařství, 43, 1997, č. 5, s. 298–301.

4. Okonohara, T., Takahashi, I., Nishizaki, T., Wakasugi, K., Matsusaka, T., Kume, K. Superior mesenteric vein thrombosis due to diverticulitis and spontaneous thrombolysis after ileo-cecal resection. Journal of Cardiovascular Surgery, Apr 2000; 41, 2; ProQuest Medical Library, pg. 307.

5. Pietrabissa, A., Moretto, C., Antonelli, G., Morelli, L., Marciano, E., Mosca, F. Thrombosis in the portal venous system after elective laparoscopic splenectomy. Surg. Endosc., (2004) 18: 1140–1143.

6. Pultsides, G. A., Lewis, C. W., Feld, R., Walters, D. L., Cherry, D. A., Ruby, S. T. Portal Vein Thrombosis after Laparoscopic Colectomy: Thrombolytic Therapy via the Superior Mesenteric Vein. The American Surgeon, Oct 2005; 71, 10; ProQuest Medical Library, pg. 856.

7. Safleddine, N., Mamazza, J., Common, A., Prabhudesal, V. Splenic and superior mesenteric artery thrombolytic infusion therapy for acute portal and mesenteric vein thrombosis. Canadian Journal of Surgery, Feb 2007; 50, 1; ProQuest Medical Library, pg. 68.

8. Sanabria, R. J., Tadaaki, Hiruki, Szalay, D. A., Tandan, V., Gallinger, S. Superior mesenteric vein thrombosis after the Whipple procedure: an agressive treatment approach. Canadian Journal of Surgery, Dec 1997, 40, 6; ProQuest Medical Library, pg. 467.

9. Takahashi, N., Kuroki, K., Katsuhiko, Y. Percutaneous Transhepatic Mechanical Thrombectomy for Acute Mesenteric Venous Thrombosis. Journal of Endovascular Therapy, Aug 2005; 12, 4; ProQuest Medical Library, pg. 508.