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Obes Surg. 2009 Oct;19(10):1464-7. doi: 10.1007/s11695-009-9910-y. Epub 2009 Jul 15.

Portal vein thrombosis due to factor 2 leiden in the post-operative course of a laparoscopic sleeve gastrectomy for morbid obesity.

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Digestive Surgical Department, CHU Timone, 264 rue Saint Pierre, 13385, Marseille, France.


Portal vein thrombosis can occur after laparoscopic operations. This complication has not been yet reported after laparoscopic sleeve gastrectomy. We report the case of a patient who presented mild abdominal pains 2 weeks after a laparoscopic sleeve gastrectomy achieved to cure morbid obesity. Computed tomography led to the diagnosis of portal vein thrombosis bound to a genetic disorder due to heterozygote Leiden 2 factor which impaired coagulation. Recommendations for post-surgical follow-up are discussed.

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