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James AW et al. - Portomesenteric venous thrombosis following laparoscopic surgery usually manifests as nonspecific abdominal pain. Treatment should be individualized based on the extent of thrombosis and the presence of bowel ischemia but should include anticoagulation therapy. Venous stasis from increased intra-abdominal pressure, intraoperative manipulation of splanchnic vasculature, and systemic thrombophilic states likely converges to produce this potentially lethal condition.

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