Case report: Renal infarction by paradoxical embolism through the patent foramen ovale as an unusual cause of post-operative abdominal pain after sleeve gastrectomy.
Int J Surg Case Rep 2016;
26:47-9. [PMID:
27449763 PMCID:
PMC4963244 DOI:
10.1016/j.ijscr.2016.06.047]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2016] [Revised: 06/29/2016] [Accepted: 06/29/2016] [Indexed: 11/23/2022] Open
Abstract
First report of renal infarct via patent foramen ovale following bariatric surgery.
Up to date recommendations on work-up and management of patent foramen ovale discussed.
Presentation includes radiologic images.
50-year-old female presented with abdominal pain 9 days post sleeve gastrectomy and was found to have acute renal infarction caused by paradoxical emboli through patent foramen ovale (PFO) as a cause of the renal infarction. Renal infarctions caused by paradoxical embolism are rare and have not been previously reported following surgery, bariatric surgery in particular. This report describes presentation, work up and management of a patient with renal infarct following bariatric surgery.
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