title: [Acute abdomen in pregnant woman treated for bariatric surgery for obesity: case report].
abstract: Bariatric surgery is currently considered as an alternative for the treatment of morbid obesity refractory to conventional clinical treatments. The surgeries more frequently used, which are radical and invasive, yield better and faster results, but are subject to clinical and surgical complications such as intestinal obstructions and subocclusions. Pregnancies in women submitted to this type of surgery are increasingly frequent, and the related complications have been increasingly reported. We present the case of a pregnant woman previously submitted to bariatric surgery who developed subocclusion with intestinal intussusception. This extremely serious complication requires attention for its diagnosis, i.e. , imaging and laboratory exams that are not usually employed during pregnancy. Gestation confuses and impairs their interpretation. In addition to the fact that the only treatment that reaches a good result is invasive, exploratory laparotomy is undesirable during this period. Maternal, fetal and perinatal mortality is usually high. In the present case, delivery occurred spontaneously during the first hours of hospitalization before the surgical procedure. Evolution was good and both mother and newborn, although premature, had good course and were discharged in good conditions.
authors.affiliation: Departamento de Ginecologia e Obstetrícia, Faculdade de Ciências Médicas, Universidade Estadual de Campinas – UNICAMP – Campinas (SP), Brasil. belmirop@hotmail.com
authors.forename: Belmiro Gonçalves
authors.initials: BG
authors.lastname: Pereira
authors.forename: Renata Pissuto
authors.initials: RP
authors.lastname: Pinheiro
authors.forename: Elinton Adami
authors.initials: EA
authors.lastname: Chain
authors.forename: João Luiz Carvalho
authors.initials: JL
authors.lastname: Pinto e Silva
mesh_terms: D000006:Abdomen, Acute / Q000209:etiology*; D000328:Adult; D050110:Bariatric Surgery / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007077:Ileal Diseases / Q000209:etiology*; D007080:Ileocecal Valve; D007443:Intussusception / Q000209:etiology*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000209:etiology*