Recurrent Abdominal Pain after Laparoscopic Appendectomy

Kwang Il Seo; Sung Eun Kim; Moo In Park; Seun Ja Park; Won Moon; Jae Hyun Kim; Kyoungwon Jung; Jung Gu Park

doi:10.4166/kjg.2017.69.3.187

Journal List > Korean J Gastroenterol > v.69(3) > 1007626

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Seo, Kim, Park, Park, Moon, Kim, Jung, and Park: Recurrent Abdominal Pain after Laparoscopic Appendectomy

Case Report

Korean J Gastroenterol 2017;69(3):187-190.

Published online: 4 October 2017

DOI: https://doi.org/10.4166/kjg.2017.69.3.187

Recurrent Abdominal Pain after Laparoscopic Appendectomy

Kwang Il Seo, Sung Eun Kim, Moo In Park, Seun Ja Park, Won Moon, Jae Hyun Kim, Kyoungwon Jung, Jung Gu Park¹

Department of Internal Medicine, Kosin University College of Medicine, Busan, Korea

¹Department of Radiology, Kosin University College of Medicine, Busan, Korea

Correspondence to: Sung Eun Kim, Department of Internal Medicine, Kosin University College of Medicine, 262 Gamcheon-ro, Seo-gu, Busan 49267, Korea. Tel: +82-51-990-5205, Fax: +82-51-990-5055, E-mail: solefide@hanmail.net

Received 5 December 2016 Revised 11 January 2017 Accepted 13 February 2017

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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 anti-coagulation 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.

Keywords: Mesenteric veins, Thrombus, Appendectomy, Laparoscopy, Abdominal pain

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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.

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.

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