title: Double closed loop obstruction and perforation in a previous Roux-en-Y gastric bypass.
abstract: A healthy 45-year-old woman with a previous Roux-en-Y gastric bypass presented with the signs, symptoms and blood analysis results consistent with acute pancreatitis. She was initially treated nonoperatively and subsequently went into circulatory shock. Computerized tomographic scan and exploratory laparotomy revealed a volvulus of the afferent jejunal limb with secondary obstruction, necrosis, and perforation of the bypassed stomach.
authors.affiliation: Department of Surgery, McGill University Hospital Center, Montreal, Quebec, Canada.
authors.forename: E J
authors.initials: EJ
authors.lastname: Keyser
authors.forename: N A
authors.initials: NA
authors.lastname: Ahmed
authors.forename: B D
authors.initials: BD
authors.lastname: Mott
authors.forename: J
authors.initials: J
authors.lastname: Tchervenkov
mesh_terms: D005260:Female; D015390:Gastric Bypass; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology*; D007579:Jejunal Diseases / Q000209:etiology*; D008875:Middle Aged; D009336:Necrosis; D011183:Postoperative Complications; D013270:Stomach / Q000473:pathology