Portal thrombosis after laparoscopic bariatric surgery type vertical gastrectomy: Case report

Abstract

Aim: Portal vein thrombosis (DVT) after bariatric surgery is a rare complication with a high rate of morbidity and mortality (20-50%). Diagnosis is made by abdominal angiography or abdominal Doppler ultrasound and the treatment will depend on the time and complications that the patient presents. Clinical case:It is a 46-year-old female patient, natural and from the federal district, with a history of systemic arterial hypertension, hyperinsulinism, morbid obesity with a bmi 30% and a surgical history of gastric sleeve type bariatric surgery on July 26, 2020. Being taken the operating table with a loop 1, abdominal echo-sonogram and normal gastroscopy. Currently in control with bariatric surgery every 3 months, last control in July 2021 finding a normotensive patient, with normal blood tests, abdominal echo-sonogram showing portal thrombosis, which is why she is referred to the Hepatology service. Subsequently, an angiotomography was performed showing portal thrombosis and portal cavernomatosis, asymptomatic and with 1 year of evolution. Conclusion: Portal vein thrombosis is an infrequent complication after laparoscopic bariatric surgeries, but it should still be taken into account in the event of abdominal pain with no apparent etiology, since prompt detection and treatment is crucial to prevent complications such as intestinal ischemia or necrosis. portal cavernomatosis or portal hypertension and reduce morbidity and mortality.