Abstract
Portal vein thrombosis is a very uncommon complication after laparoscopic surgery. Although only one case of portal vein thrombosis has been reported after laparoscopic colectomy, there are several reports of mesenteric vascular occlusion after other laparoscopic procedures. We present a case of portal vein thrombosis in a patient with no other demonstrable hypercoagulable states or risk factors, who underwent an uneventful laparoscopic sigmoid colectomy. Because alteration in coagulation may occur after establishing a pneumoperitoneum, we suggest that heparin prophylaxis may be advisable to avoid these kinds of complications, especially if a past history of coagulable disorders is present.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
JA Ciprini JI Arcelus M Laubach et al. (1995) ArticleTitlePostoperative hypercoagulability and deep-vein thrombosis after laparoscopic cholecystectomy Surg Endosc 9 304–309
Y Ishizaki Y Bandai K Shimomura H Abe Y Ohtomo Y Idezuki (1993) ArticleTitleChanges in splanchnic blood flow and cardiovascular effects following peritoneal insufflation of carbon dioxide Surg Endosc 7 420–423
BK Richmond FC Lucente JP Boland (1997) ArticleTitleLaparoscopy-associated mesenteric vascular events J Laparoendosc Adv Surg Tech A 7 363–367
KW Millikan SM Szczerba JM Dominguez R McKenna JC Rorig (1996) ArticleTitleSuperior mesenteric and portal vein thrombosis following laparoscopic-assisted right hemicolectomy Dis Colon Rectum 39 1171–1175
A Valeri F Venneri L Presenti F Nardi A Grossi D Borrelli (1998) ArticleTitlePortal thrombosis Surg Endosc 1 1173–1176
E Kemppainen A Kokkola J Siren T Kivilouto (2000) ArticleTitleSuperior mesenteric and portal vein thrombosis following laparoscopic nissen fundoplication Dig Surg 17 279–281
HS Ho CJ Saunders RA Gunther BM Wolfe (1995) ArticleTitleEffector of hemodynamics during laparoscopy J Surg Res 59 497–503
M Agusti JI Elizaldle R Adalia et al. (2001) ArticleTitleThe effects vasoactive drugs on hepatic blood flow changes induced by CO 2 laparoscopy Anesth Analg 93 121–126
AE Ortega MF Richmann M Hernadez JH Peters GJ Anthone S Azen et al. (1996) ArticleTitleInferior vena caval blood flow and cardiac hemodynamics during carbon dioxide pneumoperitoneum Surg Endosc 10 920–924
J Jakimowicz G Stultiens F Smulder (1998) ArticleTitleLaparoscopic insufflation of the abdomen reduces portal venous flow Surg Endosc 12 129–132
F Lindberg I Rasmsusen A Siegbahn D Bergqvist (2000) ArticleTitleCoagulation activation after laparoscopic cholecystectomy in spite of thromboembolism prophylaxis Surg Endosc 14 858–861
G Wazz F Branicki H Taji I Chishty (2000) ArticleTitleInfluence of pneumoperitoneum on the deep venous system during laparoscopy JSLS 4 291–295
FJ Larsen P Ejstrud F Svendsen F Redke V Pedersen HB Rahr (2001) ArticleTitleRandomized study of coagulation and fibrinolysis during and after gasless and conventional laparoscopic cholecystectomy Br J Surg 88 1001–1005
M Horzic A Korusic D Buzona K Maric (1998) ArticleTitleThe influence of increased intra-abdominal pressure on blood coagulation values Hepatogastroenterology 45 1519–1521
C Martinez Ramos A Lopez Pastor JR Nunez Pena et al. (1999) ArticleTitleChanges in hemostasis after laparoscopic cholecystectomy Surg Endosc 13 476–479
JW Mall W Schwenk O Rodiger K Zippel C Pollmann JM Muller (2001) ArticleTitleBlinded prospective study of the incidence of deep venous thrombosis following conventional or laparoscopic colorectal resection Br J Surg 88 99–100
MI Patel DT Hardman D Nichols CM Fisher M Appelberg (1996) ArticleTitleThe incidence of deep venous thrombosis after laparoscopic cholecystectomy Med J Aust 164 652–654
DC Valla B Condat (2000) ArticleTitlePortal vein thrombosis in adults J Hepatol 35 865–871
T Onohara I Takahashi T Nishizaki K Wakasugi T Matsusaka K Kume (2000) ArticleTitleSuperior mesenteric vein thrombosis due to diverticulitis and spontaneous thrombolysis after ileo-cecal resection. A case report J. Cardiovasc Surg 4 307–309
InstitutionalAuthorNameThe Multicenter Trial Center Committee (1984) ArticleTitleDihydroergotamine-heparin prophylaxis of postoperative vein thrombosis. A multicenter trial. JAMA 251 2960–2966
S Torngren (1980) ArticleTitleLow dose heparin and compression stockings in the prevention of postoperative deep venous thrombosis Br J Surg 67 482–484
NJ Marshall JR Bessell GJ Maddern (2000) ArticleTitleStudy of venous blood flow changes during laparoscopic surgery using thermodilution technique Aust N Z J Surg 70 639–643
S Alishahi N Francis S Crofts L Duncan A Bickel A Cuschieri (2001) ArticleTitleCentral and peripheral adverse hemodynamic changes during laparoscopic surgery and their reversal with a novel intermittent sequential pneumatic compression device Ann Surg 233 176–182
C Kearon M Crowther J Hirsh (2000) ArticleTitleManagement of patients with hypercoagulable disorders Ann Rev Med 51 169–185
Author information
Authors and Affiliations
About this article
Cite this article
Baixauli, J., Delaney, C.P., Senagore, A.J. et al. Portal Vein Thrombosis After Laparoscopic Sigmoid Colectomy for Diverticulitis. Dis Colon Rectum 46, 550–553 (2003). https://doi.org/10.1007/s10350-004-6599-9
Issue Date:
DOI: https://doi.org/10.1007/s10350-004-6599-9