Internal hernias and gastric perforation after a laparoscopic gastric bypass.
A 27-year-old woman underwent laparoscopic Rouxen-Y gastric bypass. A retrocolic-retrogastric herniation of most of the small bowel and later a gastric perforation due to internal hernia at the mesenteric defect of the jejuno-jejunostomy occurred. These unusual, but not rare, complications are directly related to the neoanatomy that follows gastric bypass and can lead to rapidly progressing and life-threatening situations. Proper evaluation of clinical signs and symptoms, early abdominal CT scan, and urgent operative intervention are mandatory to achieve a successful outcome.
Serra
C
C
The Surgical Service, Virgen de los Lirios Hospital, Alcoy, Alicante, Spain. cserra@san.gva.es
Baltasar
A
A
Bou
R
R
Miró
J
J
Cipagauta
L A
LA
D000328:Adult; D000713:Anastomosis, Roux-en-Y / Q000009:adverse effects; D005260:Female; D015390:Gastric Bypass / Q000009:adverse effects*; D006547:Hernia / Q000209:etiology; D006801:Humans; D007410:Intestinal Diseases / Q000209:etiology*; D007421:Intestine, Small / Q000473:pathology*; D007583:Jejunum / Q000601:surgery; D010535:Laparoscopy / Q000009:adverse effects*; D008643:Mesentery / Q000473:pathology; D010532:Peritoneal Diseases / Q000209:etiology; D012086:Reoperation; D013272:Stomach Diseases / Q000209:etiology*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome