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Case Report
 
Portal vein thrombosis after robot-assisted laparoscopic Roux-en-Y gastric bypass
Ranjodh Singh1, Randeep Badwal2, Hassan Shahid3, Elliot J Fegelmen4
1MD, Surgery Resident, Surgery Department, The Jewish Hospital, Cincinnati, Ohio, USA.
2MD, Medical Student, Surgery Department, The Jewish Hospital, Cincinnati, Ohio, USA.
3MD, Medical Student, Surgery Department, The Jewish Hospital, Cincinnati, Ohio, USA.
4MD, Attending Surgeon, Surgery Department, The Jewish Hospital, Cincinnati, Ohio, USA.

Article ID: 100001G02RS2014
doi:10.5348/g02-2014-1-CR-1

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How to cite this article
Singh R, Badwal R, Shahid H, Fegelmen EJ. Portal vein thrombosis after robot-assisted laparoscopic Roux-en-Y gastric bypass. Edorium J Gastrointest Surg 2014;1:1–4.


Abstract
Introduction: Portal vein thrombosis after gastric bypass has been rarely described in medical literature. It is a multifactorial occurrence, one related to surgical technique as well as predispositions to thrombosis in the patient. Nonetheless, it is one with deadly consequences if not diagnosed and treated promptly. The patient exhibited vague abdominal symptoms at presentation and was diagnosed with portal vein thrombosis via abdominal computed tomography.
Case Report: Herein, we discuss a case of a 40-year-old female, with an undiscovered Leiden V mutation and positive lupus anticoagulant, presented with portal vein thrombosis two weeks after robot-assisted laparoscopic gastric bypass and successful discharge.
Conclusion: A clinician managing a postoperative laparoscopic Roux-en-Y gastric bypass patient should be aware of the possibility of portal vein thrombosis, and the precipitating factors predisposing patients to this condition.

Keywords: Portal vein thrombosis, Gastric bypass, Laparoscopic bypass


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Author Contributions
Ranjodh Singh – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
Randeep Badwal – Analysis and interpretation of data, Drafting the article, Final approval of the version to be published
Hassan Shahid – Acquisition of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
Elliot J Fegelmen – Analysis and interpretation of data, Critical revision of the article, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2014 Ranjodh Singh et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.