Korean J Gastroenterol.  2017 Mar;69(3):187-190. 10.4166/kjg.2017.69.3.187.

Recurrent Abdominal Pain after Laparoscopic Appendectomy

• Seo KI
• Kim SE
• Park MI
• Park SJ
• Moon W
• Kim JH
• Jung K
• Park JG

• KMID: 2383413
• DOI: http://doi.org/10.4166/kjg.2017.69.3.187

Abstract

Laparoscopic surgical approaches, compared with open surgical approaches, provide comparable clinical outcomes, but lower complications. Unfortunately, a rare complication"•portomesenteric vein thrombosis"•had been reported after laparoscopic surgery. A 42-year-old woman was referred our hospital for recurrent abdominal pain after laparoscopic appendectomy from acute appendicitis. It was determined that abdominal pain was due to postoperative superior mesenteric vein thrombus. A six-month anticoagulation therapy is an excellent treatment for superior mesenteric vein thrombus . Therefore, physicians should be aware of portomesenteric vein thrombosis in patients with newly developed abdominal pain after successful laparoscopic surgical management.

Keyword

Mesenteric veins; Thrombus; Appendectomy; Laparoscopy; Abdominal pain

MeSH Terms

Abdominal Pain*
Adult
Appendectomy*
Appendicitis
Female
Humans
Laparoscopy
Mesenteric Veins
Thrombosis
Veins

Figure

• 

  Fig. 1. Initial diagnostic abdominal CT scan. No abnormal findings of superior mesenteric vein. CT, computed tomography.

• 

  Fig. 2. Follow-up abdominal CT scan on the fourteenth post-operative day. Nearly total occlusion of superior mesenteric vein by thrombus. CT, computed tomography.

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  Fig. 3. Follow-up abdominal CT scan on the third month of anti-coagulation therapy. No remained thrombus in the superior mesenteric vein. CT, computed tomography.

Reference

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