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Ultrasound Guided Laparoscopic Port Placement in a Patient with Congenital Anomaly of IVC Undergoing Sleeve Gastrectomy.

Ultrasound Guided Laparoscopic Port Placement in a Patient with Congenital Anomaly of IVC Undergoing Sleeve Gastrectomy. Thumbnail


Abstract

We report a patient with obesity who underwent laparoscopic sleeve gastrectomy after pre-operative ultrasound mark up to enable safe port insertion due to presence of venous collaterals in the abdominal wall as a result of congenial IVC anomaly. This patient was falsely presumed to have NASH cirrhosis. Detailed preoperative workup ruled this out and led to the discovery of congenital IVC anomaly as the cause of engorged blood vessels in the anterior abdominal wall. On table ultrasound mark up of safe sites for port insertion enabled a safe laparosocpic sleeve gastrectomy on this patient.

Acceptance Date Jan 7, 2020
Publication Date Jan 7, 2020
Journal Obesity Surgery
Print ISSN 0960-8923
Publisher Springer Verlag
Pages 1168 - 1170
DOI https://doi.org/10.1007/s11695-019-04379-1
Keywords Ultrasound . IVC Anomaly
Publisher URL https://link.springer.com/article/10.1007%2Fs11695-019-04379-1

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