title: Abdominal pain after gastric bypass: labor, uterine rupture, or obstruction and internal hernia.
abstract: Background. Although gastric bypass may reduce obesity-related complications of subsequent pregnancies, surgical complications requiring antenatal and postpartum interventions are not uncommon. Case. A 26-year-old G4P1112 status post-Roux-en-Y gastric bypass required multiple urgent antenatal evaluations due to frequent episodes of abdominal pain. At 35 + 4 weeks, she presented with severe abdominal pain; initial evaluation was negative for gastrointestinal pathology. The patient was found to be in preterm labor and underwent a repeat cesarean section. The postoperative course was complicated by bowel obstruction due to internal hernia resulting in an emergent laparotomy and a prolonged hospital course. Conclusion. As more reproductive-aged women opt for surgical treatment of obesity, it is essential that obstetricians recognize complications to be able to counsel and appropriately care for these patients.
authors.affiliation: Department of Obstetrics, Gynecology & Reproductive Sciences, Yale School of Medicine, Yale University, 333 Cedar Street, P.O. Box 208063, New Haven, CT 06520-8063, USA.
authors.forename: Sarah N
authors.initials: SN
authors.lastname: Cross
authors.forename: Unzila
authors.initials: U
authors.lastname: Nayeri
authors.forename: Andrew
authors.initials: A
authors.lastname: Duffy
authors.forename: Christian M
authors.initials: CM
authors.lastname: Pettker