Gallbladder varices in a pediatric patient after roux-en-Y gastric bypass
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Read the article on jpedsurg.org ↗Article · Oct 2018 · 1 min read
In brief
In brief
This case report documents a rare complication in a pediatric patient who developed portomesenteric and splenic vein thrombosis following Roux-en-Y gastric bypass, leading to portal cavernoma and gallbladder varices. The case emphasizes the critical need for prophylactic anticoagulation protocols and comprehensive imaging surveillance in pediatric bariatric surgery patients.
Written by the GCMD Library team from the article.
This is a case with associated radiologic images for a pediatric patient who developed portomesenteric and splenic vein thrombosis (PMSVT) after Roux-en-Y gastric bypass with subsequent development of portal cavernoma and gallbladder varices (GBV). This case highlights both the importance of post-operative prophylactic anti-coagulation after gastric bypass and detailed imaging following a diagnosis of PMSVT. This case is relevant for pediatric surgeons as they are performing this operation more frequently with the increase in pediatric obesity.