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Splenoportal thrombosis as a complication after laparoscopic splenectomy
Claudio Franciosi1, Fabrizio Romano, Roberto Caprotti
1Department of General Surgery, San Gerardo Hospital, II University of Milan-Bicocca, Milan, Italy.
Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
|September 25, 2002
Summary
Laparoscopic splenectomy for hematologic disorders is generally safe. However, this case highlights spleno-mesenteric-portal thrombosis as a rare but serious complication, emphasizing early diagnosis and treatment.
Area of Science:
- Gastroenterology
- Vascular Surgery
- Hematology
Background:
- Laparoscopic splenectomy is increasingly utilized for hematologic disorders.
- While generally safe, rare complications like spleno-portal thrombosis can occur.
Observation:
- A case of spleno-mesenteric-portal axis thrombosis is presented 14 days post-laparoscopic splenectomy.
- Diagnosis was confirmed via ultrasound, Doppler, and angio-MR scans.
Findings:
- Prompt heparin therapy followed by oral anticoagulants led to clinical resolution.
- The patient was discharged with a stable Doppler ultrasound pattern after one week of anticoagulation.
Implications:
- Early diagnosis and prompt anticoagulant therapy are crucial for managing this rare complication.
- Careful surgical technique may help mitigate the risk of spleno-portal thrombosis after laparoscopic splenectomy.