Case Report
Copyright ©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Feb 28, 2015; 21(8): 2546-2549
Published online Feb 28, 2015. doi: 10.3748/wjg.v21.i8.2546
Portomesenteric venous thrombosis: An early postoperative complication after laparoscopic biliopancreatic diversion
Manuela Cesaretti, Hosam Elghadban, Nicola Scopinaro, Francesco Saverio Papadia
Manuela Cesaretti, Hosam Elghadban, Nicola Scopinaro, Francesco Saverio Papadia, Department of Surgery, San Martino Hospital, University of Genoa, 16132 Genoa, Italy
Author contributions: Elghadban H designed the report; Cesaretti M collected the patient data; Scopinaro N analyzed data; Papadia FS, Elghadban H and Cesaretti M wrote the paper.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Manuela Cesaretti, MD, Department of Surgery, Ospedale San Martino, University of Genoa, Largo Rosanna Benzi 8, 16132 Genoa, Italy. manuela.csr02@gmail.com
Telephone: +39-340-3287865 Fax: +39-10-662935
Received: January 27, 2014
Peer-review started: January 29, 2014
First decision: February 14, 2014
Revised: March 15, 2014
Accepted: April 23, 2014
Article in press: May 23, 2014
Published online: February 28, 2015
Core Tip

Core tip: As the number of bariatric operations has risen sharply in the past ten years, severe postoperative complications are likely to occur more frequently. Perioperative acute portal vein thrombosis is one such potential complication that has not yet been reported after biliopancreatic diversion. The first reported cases of portal vein thrombosis following laparoscopic biliopancreatic diversion are described, which occurred early in the postoperative period despite adequate perioperative prophylaxis. An early diagnosis made by abdominal ultrasound and computed tomography will allow for prompt initiation of adequate therapy.