Portal/splenic vein thrombosis following splenectomy in gastric cancer surgery

Shunsuke Kagawa, Futoshi Uno, Akira Gochi, Yoshio Naomoto, Toshiyoshi Fujiwara

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)


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 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 present case demonstrates the importance of considering PSVT as a possible complication of splenectomy in gastric cancer surgery.

Original languageEnglish
Pages (from-to)208-211
Number of pages4
JournalAsian Journal of Surgery
Issue number4
Publication statusPublished - Oct 2010


  • gastric cancer
  • portal vein thrombosis
  • splenectomy

ASJC Scopus subject areas

  • Surgery


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