tailieunhanh - Báo cáo y học: "Portal vein thrombosis following laparoscopic cholecystectomy complicated by dengue viral infection: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Portal vein thrombosis following laparoscopic cholecystectomy complicated by dengue viral infection: a case report. | Dan et al. Journal of Medical Case Reports 2011 5 126 http content 5 1 126 JOURNAL OF MEDICAL CASE REPORTS CASE REPORT Open Access Portal vein thrombosis following laparoscopic cholecystectomy complicated by dengue viral infection a case report Dilip Dan Kevin King Shiva Seetahal Vijay Naraynsingh and Seetharaman Hariharan Abstract Introduction Portal vein thrombosis is an uncommon post-operative complication following abdominal surgery. Although therapeutic anticoagulation is recommended this treatment may be questionable when the patient has an associated bleeding diathesis. Case presentation We report a case of a 63-year-old woman of Asian Indian ethnicity who developed portal vein thrombosis following an uneventful laparoscopic cholecystectomy for symptomatic gallstones. Her condition was further complicated by dengue viral infection in the post-operative period with thrombocytopenia immediately preceding the diagnosis of portal vein thrombosis. The etiological connections between dengue viral infection with thrombocytopenia laparoscopic cholecystectomy portal vein thrombosis as well as the treatment dilemmas posed in treating a patient with portal vein thrombosis with a bleeding diathesis are discussed. Conclusion When portal vein thrombosis occurs in patients with contraindications to anticoagulation there is a role for initial conservative management without aggressive anticoagulation therapy and such patients must be approached on an individualized basis. Introduction Portal vein thrombosis PVT is one of the recognized complications in the post-operative period following abdominal surgeries although it is uncommonly reported in the literature. PVT may usually manifest in a patient who is in a hypercoagulable state but to the best of our knowledge has never been reported in a p atient with thrombocytopenic hemorrhagic disorder. We report a patient who presented with PVT five days after an uneventful laparoscopic cholecystectomy. .