Case report: Renal infarction by paradoxical embolism through the patent foramen ovale as an unusual cause of post-operative abdominal pain after sleeve gastrectomy

Oleksandr Khoma; Aravind Suppiah; David Martin

doi:10.1016/j.ijscr.2016.06.047

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. doi: 10.1016/j.ijscr.2016.06.047. Epub 2016 Jul 16.

Authors

Oleksandr Khoma¹, Aravind Suppiah², David Martin³

Affiliations

¹ Department of Upper Gastrointestinal Surgery, Concord General Repatriation Hospital, Hospital Road, Concord, NSW 2137, Australia. Electronic address: [email protected].
² Department of Upper Gastrointestinal Surgery, Concord General Repatriation Hospital, Hospital Road, Concord, NSW 2137, Australia. Electronic address: [email protected].
³ Department of Upper Gastrointestinal Surgery, Concord General Repatriation Hospital, Hospital Road, Concord, NSW 2137, Australia. Electronic address: [email protected].

Abstract

50-year-old female presented with abdominal pain 9days 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.

Keywords: Bariatric; Case report; Complication; Embolism; PFO; Renal infarct.