Introduction

Perioperative Deep Vein Thrombosis and Pulmonary embolism (PE) occur in up to 5.4% and 6.4% of bariatric surgeries, respectively [1-4]. Although uncommon, these complications are potentially life-threatening and are considered significant causes of mortality in bariatric surgery candidates [5].
Due to lack of evidence, diagnostic and therapeutic approaches in fragile post-operative settings are as crucial as uncertain. These complications are not common; thus, in the event that they occur, physicians may be unrehearsed. Therefore, detailed discussion and sharing experiences are of great importance. Here we present a real case of acute massive PE after laparoscopic sleeve gastrectomy.