Portal/splenic Vein Thrombosis Following Splenectomy in Gastric Cancer Surgery

Portal/splenic Vein Thrombosis Following Splenectomy in Gastric Cancer Surgery

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Although splenectomy is often performed along with en bloc node dissection in gastric cancer surgery, portal/splenic vein thrombosis (PSVT) has been rarely reported.We recently encountered a case of PSVT after a splenectomy was performed during gastric diegojavierfares.com cancer surgery.A 53-year-old woman underwent total gastrectomy, splenectomy, and en bloc regional lymph node dissection for gastric cancer.An uneventful postoperative course ended with abrupt development of a fever and general fatigue.

Laboratory tests showed elevated levels of liver transaminases and fibrinogen degenerative products.Contrast-enhanced computed tomography revealed splenic vein thrombosis and partial liver infarction.Immediate anticoagulant treatment resulted in clinical improvement and partial thrombolysis in 2 months.PSVT after splenectomy in haematological disorders has been recognized as a possibly lethal complication.

However, it has been underappreciated in cases of splenectomy for gastric cancer.The click here present case demonstrates the importance of considering PSVT as a possible complication of splenectomy in gastric cancer surgery.