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Related Concept Videos

Venous Thrombosis I: Introduction01:30

Venous Thrombosis I: Introduction

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Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
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Venous Thrombosis III: Interprofessional Care01:29

Venous Thrombosis III: Interprofessional Care

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Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
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Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

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Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
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Related Experiment Video

Updated: Aug 27, 2025

New Thrombectomy Technique for Total Portal Vein Thrombosis in Liver Transplantation
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Thrombus Trifecta: A Laparoscopic Sleeve Gastrectomy Complication.

Clates P Adams1, Andrew Zabel2, Vanessa Hannick2

  • 1Transitional Year Residency, William Beaumont Army Medical Center, Fort Bliss, USA.

Cureus
|September 28, 2022
PubMed
Summary

A patient experienced severe abdominal pain after sleeve gastrectomy due to blood clots in major abdominal veins. Treatment involved anticoagulation and surgical intervention, the standard of care for such thromboses.

Keywords:
abdominal painlow molecular weight heparinportal vein thrombosissleeve gastrectomytips

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Area of Science:

  • Gastroenterology
  • Vascular Surgery
  • Radiology

Background:

  • Laparoscopic sleeve gastrectomy is a common bariatric procedure.
  • Postoperative complications can include venous thromboembolism.
  • Abdominal vein thrombosis is a rare but serious complication.

Observation:

  • A patient presented with generalized, extreme, colicky abdominal pain following a laparoscopic sleeve gastrectomy.
  • Computed tomography (CT) imaging revealed thromboses in the portal vein, superior mesenteric vein, and splenic vein.

Findings:

  • The patient developed extensive venous thrombosis in the portal, superior mesenteric, and splenic veins after sleeve gastrectomy.
  • CT imaging successfully visualized the extent of the thromboses.

Implications:

  • This case highlights the importance of considering venous thromboembolism in patients with severe abdominal pain post-sleeve gastrectomy.
  • Prompt diagnosis and management with anticoagulation and/or surgical intervention are crucial.
  • Further research may explore risk factors and preventative strategies for this complication.