Jonathan Giannone, MD, Rami Lutfi, MD, FACS
Department of Surgery, Mercy Hospital and Medical Center, Chicago, IL, USA (all authors).
Background: Mesenteric venous thrombosis has been a reported rare postoperative complication after laparoscopic surgery and may lead to increased patient morbidity and possible mortality.
Methods: We report a case highlighting the postoperative presentation of mesenteric venous thrombosis after laparoscopic robotic-assisted colectomy and its management.
Results: We present a case of a 52-year-old woman who underwent robotic-assisted right colectomy after screening colonoscopy found an adenocarcinoma in the cecum. She was discharged on postoperative day 4 and returned to the emergency department on postoperative day 20 with diffuse abdominal pain and nausea/vomiting. A computed tomography scan showed thrombosis and complete occlusion of her superior mesenteric vein extending to the portal vein.
Conclusion: Mesenteric venous thrombosis is a rare but highly morbid postoperative complication after laparoscopic surgery. It should be considered in the differential diagnosis of delayed postoperative presentation with abdominal pain.
Key Words: Mesenteric venous thrombosis, Laparoscopic surgery, Colectomy, Robotic surgery.