An unusual complication after Roux-en-Y gastric bypass: torsion and infarction of the divided Omentum.
A 41-year-old male was admitted from the emergency department with severe epigastric and right hypochondric abdominal pain. The patient had a laparoscopic Roux-en-Y gastric bypass operation 12 months previously. An abdominal computed tomography scan showed signs of omental infarction. A laparoscopy was performed and showed a torsion and infarction of the divided greater omentum. Resection of the ischemic omentum was performed.
Department of General and Bariatric surgery, ZNA Stuivenberg Hospital, Lange Beeldekensstraat 267, 2060, Antwerp, Belgium, tjrbestman@hotmail.com.
T J R
TJ
Bestman
J W
JW
Valk
B
B
Gypen
S
S
Declercq
L
L
Hendrickx
D000328:Adult; D015390:Gastric Bypass / Q000009:adverse effects*; D015391:Gastroplasty / Q000009:adverse effects*; D006801:Humans; D007238:Infarction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D008297:Male; D009767:Obesity, Morbid / Q000601:surgery*; D009852:Omentum / Q000098:blood supply* / Q000601:surgery; D010532:Peritoneal Diseases / Q000209:etiology* / Q000601:surgery; D011859:Radiography; D014102:Torsion Abnormality / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D016896:Treatment Outcome