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Thrombosis of portal venous system after laparoscopic cholecystectomy in a patient with prothrombin gene mutation
Waheed Gul1, Khurram Abbass, Arif M Qazi
1Wright State University, Boonshoft School of Medicine, Dayton, OH, USA.
Abstract:
Laparoscopic cholecystectomy is now the gold standard for the treatment of symptomatic cholelithiasis. Portal venous thrombosis after laparoscopic cholecystectomy is rare. We report a case of thrombosis of the portal venous system after laparoscopic cholecystectomy in a patient with a latent prothrombin gene mutation. An abdominal computed tomography and magnetic resonance angiogram of the abdomen revealed portal, superior mesenteric, and splenic vein thrombosis. Testing for coagulation disorders showed a heterozygous form of factor II (prothrombin) G20210A mutation. Because of its rarity, information regarding this complication is limited.
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