Laparoscopic vertical partial postgastrectomía segmental mesenteric thrombosis.

Abstract

Introduction: Postgastrectomysegmental mesenteric thrombosis is a rare complication of these surgical procedures. Its pathogenesis is related to previous endovascular damage, secondary to a history of pathological processes such as diabetesmellitus, obesity, hypertension.

Objective: To describe a clinical case of laparoscopic vertical partial postgastrectomysegmental mesenteric thrombosis.

Material and methods: Retrospective descriptive study, clinical case presentation.

Results: A clinical case of laparoscopic vertical partial postgastrectomía segmental mesenteric thrombosis is described. It is a patient of 46 years with a history of diabetes mellitus and obesity, who underwent bariatric surgery to treat his obesity, there were no intraoperative complications. During his hospital stay he received anticoagulation, after a period of two weeks suddenly presents a picture of diffuse abdominal pain, and after being reintervened, is found as a segmental mesenteric ischemia finding with a commitment to Intestinal wall. Comorbidities were risk factors for the development of ischemia.

Conclusions: Mesenteric thromboembolism is one of the least frequent complications of metabolic surgery procedures, and can be considered as an atypical case, in this type of patients there are severalcomorbidities and risk factors that lead to Have a clotting disorder. The surgical resolution and postoperative anticoagulation were transcendental in its evolution.