K. Klugewitz et al., A RARE CASE OF BLOODY DIARRHEA - THROMBOSIS OF THE V-MESENTERICA INFERIOR FOLLOWING LAPAROSCOPIC CHOLECYSTECTOMY, Zeitschrift fur Gastroenterologie, 36(1), 1998, pp. 35-39
Laparoscopic cholecystectomy has become the standard treatment for sym
ptomatic cholecystolithiasis. The most common complications, as curren
t experiences show, are bleeding, bile duct injury and nontechnical co
mplications like pneumonia. In some individual cases ischemic lesions
of bowel by injury or thrombosis of intestinal vessels are described.
Here we report the rare case of intestinal venous thrombosis following
laparoscopic cholecystectomy. The complication clinically appeared wi
thin 24 h after operation starting with bloody diarrhea and mimicking
inflammatory bowel disease. The patient, a 41-year-old man, was treate
d with high-dose heparin and could be discharged after 44 days without
complaints. Coloscopy six months after the event showed a restitutio
ad integrum.