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.
Bestman
T J R
TJ
Department of General and Bariatric surgery, ZNA Stuivenberg Hospital, Lange Beeldekensstraat 267, 2060, Antwerp, Belgium, tjrbestman@hotmail.com.
Valk
J W
JW
Gypen
B
B
Declercq
S
S
Hendrickx
L
L
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