袖状胃切除术后肠系膜静脉血栓形成：一例病例报告及文献综述

摘要(中文译文)

急性肠系膜缺血（AMI）是一种罕见但致命的疾病。肠系膜静脉血栓形成（VAMI）是AMI的一种亚型。病态肥胖通常伴有高血压、高脂血症或糖尿病，这些是与AMI相关的危险因素。我们报告一例28岁男性在腹腔镜袖状胃切除术后发生VAMI。他最初被误诊为肠梗阻。计算机断层扫描血管造影后确诊为肠系膜上静脉血栓形成。立即进行了开腹手术、坏死小肠切除和造口术。伴有高血压、高脂血症或糖尿病的病态肥胖患者发生AMI的风险较高。突发性腹痛应考虑AMI。袖状胃切除术后抗凝治疗可能有助于降低AMI的发生率。

Abstract

Acute mesenteric ischemia (AMI) is a rare but lethal disease. Mesenteric vein thrombosis (VAMI) is a subtype of AMI. Morbid obesity is usually accompanied by hypertension, hyperlipidemia, or diabetes mellitus, which are risk factors associated with AMI. We present a 28-year-old man with VAMI post-laparoscopic sleeve gastrectomy. He was first misdiagnosed with intestinal obstruction. Superior VAMI was confirmed after computed tomography angiography. Laparotomy, resection of the necrotic small bowel, and ostomy were performed immediately. Patients with morbid obesity accompanied by hypertension, hyperlipidemia, or diabetes mellitus have a high risk of AMI. Abdominal pain with sudden onset should be considered AMI. Anticoagulation therapy post-sleeve gastrectomy might help reduce the incidence of AMI.

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