Skip to main content
Log in

Superior mesenteric and portal vein thrombosis following laparoscopic-assisted right hemicolectomy

Report of a case

  • Case Reports
  • Published:
Diseases of the Colon & Rectum

Abstract

PURPOSE: This article describes a case of superior mesenteric and portal vein thrombosis following laparoscopic-assisted right hemicolectomy. METHODS: A retrospective case review was performed. RESULTS: Data continue to grow regarding safety and technical feasibility of laparoscopic-assisted colectomy. As this minimally invasive alternative to open colonic resection becomes more popular, it is inevitable that information on benefits and complications associated with it will continue to expand. We report a case of superior mesenteric and portal vein thrombosis following laparoscopic-assisted colon resection. To our knowledge, this represents a complication of laparoscopic colon resection not previously reported in literature. CONCLUSION: Careful patient selection for this procedure is important. Additionally, the incision for extracorporeal resection and anastomosis in laparoscopic-assisted colectomy must be planned appropriately and carefully monitored intraoperatively to avoid potential complication of vascular trauma leading to mesenteric vein thrombosis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Dean PA, Beart RW Jr, Nelson H, Elftmann TD, Schlinkert RT. Laparoscopic-assisted segmental colectomy: early Mayo experience. Mayo Clin Proc 1994;69:825–33.

    Google Scholar 

  2. Elftmann TD, Nelson H, Ota DM, Pemberton JH, Beart RW Jr. Laparoscopic-assisted segmental colectomy: surgical techniques. Mayo Clin Proc 1994;69:825–33.

    Google Scholar 

  3. Boley SJ, Kaleya RN, Brandt LJ. Mesenteric venous thrombosis. Surg Clin North Am 1992;72:183–201.

    Google Scholar 

  4. Ende N. Infarction of bowel in cardiac failure. N Engl J Med 1958;258:879–81.

    Google Scholar 

  5. Rhee RY, Gloviczki P, Mendonca CT,et al. Mesenteric venous thrombosis: still a lethal disease in the 1990's. J Vasc Surg 1994;20:688–97.

    Google Scholar 

  6. See WA, Cooper CS, Fisher RJ. Predictors of laparoscopic complications after formal training in laparoscopic surgery. JAMA 1993;270:2689–92.

    Google Scholar 

  7. Mathis CR, MacFadyen BV Jr. Laparoscopic colorectal resection: a review of the current experience. Int Surg 1994;79:221–5.

    Google Scholar 

  8. Senagore AJ, Luchtefeld MA, Mackeigan JM, Mazier WP. Open colectomyversus laparoscopic colectomy: are there differences? Am Surg 1993;59:549–53.

    Google Scholar 

  9. Fusco MA, Paluzzi MW. Abdominal wall recurrence after laparoscopic-assisted colectomy for adenocarcinoma of the colon: report of a case. Dis Colon Rectum 1993;36:858–61.

    Google Scholar 

  10. McDermott JP, Devereaux DA, Caushaj PF. Pitfall of laparoscopic colectomy: an unrecognized synchronous cancer. Dis Colon Rectum 1994;37:602–3.

    Google Scholar 

  11. Ishizaki Y, Bandai K, Shimomura H, Abe H, Ohmoto Y, Idezuki Y. Changes in splanchnic blood flow and cardiovascular effects following peritoneal insufflation of carbon dioxide. Surg Endosc 1993;7:420–3.

    Google Scholar 

  12. Berggren U, Rasmussen I, Haglund UI, Arvidsson D. Effects on systemic and splachnic circulation induced by pneumoperitoneum [abstract]. First European Congress of European Association for Endoscopic Surgery (EAES) abstract book, June 1993 meeting, Cologne, Germany.

  13. Epstein RM, Wheeler HO, Frumin J, Habif DV, Papper EM, Bradley SE. The effect of hypercapnia on estimated hepatic blood flow, circulating splachnic blood volume and hepatic sulfobromophthalein during general anesthesia in man. J Clin Invest 1961;40:592–8.

    Google Scholar 

  14. Font VE, Hermann RE, Longworth DL. Chronic mesenteric venous thrombosis: difficult diagnosis and therapy. Cleve Clin J Med 1989;56:823–8.

    Google Scholar 

  15. Goldstone J, Moore WS, Hall AD. Chronic occlusion of the superior and inferior mesenteric veins: a report of a case. Am Surg 1970;36:235–7.

    Google Scholar 

  16. Laufman H. Gradual occlusion of the mesenteric vessels: experimental study. Surgery 1943;13:406–14.

    Google Scholar 

  17. Warshaw AL, Gongliang J, Ottinger LW. Recognition and clinical implications of mesenteric and portal vein obstruction in chronic pancreatitis. Arch Surg 1987;122:410–5.

    Google Scholar 

  18. Al Karawi MA, Quaiz M, Clark D, Hilalia A, Mohamed AD, Jawdat M. Mesenteric vein thrombosis: non invasive diagnosis and follow up (UA+MRI) and noninvasive therapy by streptokinase and anticoagulants. Hepatogastroenterology 1990;37:507–9.

    Google Scholar 

  19. Bergentz S, Ericsson B, Hedner U, Leandor L, Nilsson IM. Thrombosis in the superior mesenteric and portal veins: report of a case treated with thrombectomy. Surgery 1974;76:286–90.

    Google Scholar 

  20. Verbanck JJ, Rutgeerts LJ, Haerens MH,et al. Partial splenoportal and superior mesenteric venous thrombosis: early sonographic diagnosis and successful conservative management. Gastroenterology 1984;86:949–52.

    Google Scholar 

  21. Lanthier P, Lepot M, Mahieu P. Mesenteric venous thrombosis presenting as neurological problem. Acta Clin Belg 1984;29:92–5.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

About this article

Cite this article

Millikan, K.W., Szczerba, S.M., Dominguez, J.M. et al. Superior mesenteric and portal vein thrombosis following laparoscopic-assisted right hemicolectomy. Dis Colon Rectum 39, 1171–1175 (1996). https://doi.org/10.1007/BF02081421

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02081421

Key words

Navigation