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Mesenteric Vein Thrombosis after Laparoscopic Right Colectomy - A Case Report and Literature Review | OMICS International| Abstract
ISSN: 2573-542X

Cancer Surgery
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  • Case Report   
  • Cancer Surg 2017, Vol 3(1): 115
  • DOI: 10.4172/2573-542X.1000115

Mesenteric Vein Thrombosis after Laparoscopic Right Colectomy - A Case Report and Literature Review

Ramesh Kumar* and Namrata Choudary
MD, Unity Point Clinic Surgery – Mulberry, 1518 Mulberry Avenue, Muscatine, Iowa 52761, , USA
*Corresponding Author : Ramesh Kumar MD, Unity Point Clinic Surgery – Mulberry, 1518 Mulberry Avenue, Muscatine, Iowa 52761, USA, Tel: 563-262-4112, Email: [email protected]

Received Date: Nov 10, 2017 / Accepted Date: Nov 25, 2017 / Published Date: Nov 30, 2017


Introduction: Mesenteric vein thrombosis (MVT) is a rare but serious condition. Prompt diagnosis and early treatment are essential to avoid high mortality from this condition. Very few cases of this complication after laparoscopic colon resection have been reported in the literature.
Presentation of case:
We report superior mesenteric vein thrombosis in a 69-year old male after uneventful laparoscopic right colectomy for colon cancer. Incidental diagnosis of MVT was made on staging CT scan of abdomen one month after surgery. He was promptly treated with anticoagulation which avoided adverse outcomes. The patient was asymptomatic throughout the course of the disease.
Discussion: There is significant lack of its awareness about this disease in medical fraternity due to very low incidence. Additionally, signs and symptoms are often confusing especially in patients who have had recent surgery. Pain abdomen, nausea, and diarrhea are most common symptoms. High degree of clinical suspicion by treating physician is the key to early diagnosis. Undiagnosed patients have high mortality due to consequent mesenteric ischemia and sepsis. CT angiography is the most important diagnostic test and prompt systemic anticoagulation is the treatment of choice.
Conclusion: Awareness of this condition and a high index of suspicion are two most important attributes in fighting with this deadly and rare complication after laparoscopic colon resection.

Keywords: Mesenteric vein; Thrombosis; laparoscopy; Diagnosis

Citation: Ramesh K, Namrata C (2017) Mesenteric Vein Thrombosis after Laparoscopic Right Colectomy-A Case Report and Literature Review. Cancer Surg (Los Angeles, Calif.) 3: 115. Doi: 10.4172/2573-542X.1000115

Copyright: © 2017 Ramesh K, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited.

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