Late perforation and abscess formation at the site of the jejunojejunal anastomosis following laparoscopic Roux-en-Y gastric bypass surgery.
Late complications involving the site of the jejunojejunal (J-J) anastomosis are uncommon after laparoscopic Roux-en-Y gastric bypass. We present a case of a perforation at the J-J anastomosis complicated by the formation of an abscess 6 months after surgery. Following clinical and radiological evaluation, the patient underwent an exploratory laparoscopy which had to be converted to an open technique because of technical difficulties. The abscess was drained, the anastomosis was resected, and a new anastomosis was undertaken. When the surgical specimen was inspected, a perforation was found at the site of the previous J-J anastomosis. The patient had an uneventful recovery. To our knowledge, this is the first report of the formation of an abscess due to a perforation at the site of the J-J anastomosis after laparoscopic Roux-en-Y gastric bypass surgery. This complication, although rare, should be taken into account in patients with abdominal pain and systemic inflammatory response syndrome after bariatric surgery.
Gonzalez-Pezzat
Iliana
I
Hospital Angeles del Pedregal, Camino a Santa Teresa 1055. Col Heroes de Padierna, CP 10700, Mexico, Distrito Federal, Mexico.
Soto-Perez-de-Celis
Enrique
E
Pantoja-Millan
Juan Pablo
JP
D018784:Abdominal Abscess / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D000713:Anastomosis, Roux-en-Y / Q000009:adverse effects*; D015390:Gastric Bypass / Q000009:adverse effects*; D006801:Humans; D007416:Intestinal Perforation / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D007583:Jejunum; D008297:Male; D009765:Obesity / Q000601:surgery*; D013997:Time Factors; D055815:Young Adult