title: Intussusception during pregnancy after laparoscopic Roux-en-Y gastric bypass.
abstract: In fertile women, the laparoscopic Roux-en-Y gastric bypass (LRYGB) is being increasingly performed. Pregnancy and LRYGB both give an increased risk of intussusception, which can lead to bowel necrosis, sepsis and preterm labour. We describe two pregnant women with a history of LRYGB who presented to the emergency department with non-specific abdominal pain. Both were diagnosed with intussusception. These cases illustrate that intussusception should be considered in pregnant women with a history of LRYGB who present with non-specific abdominal pain. Only MRI, CT scan or diagnostic laparoscopy is sufficient for diagnosis. Early diagnosis may prevent serious complications.
authors.affiliation: Department of Gynaecology & Obstetrics, OLVG, Amsterdam, The Netherlands.
authors.forename: Anouk
authors.initials: A
authors.lastname: Bokslag
authors.affiliation: Department of Gynaecology & Obstetrics, OLVG, Amsterdam, The Netherlands.
authors.forename: Jiska
authors.initials: J
authors.lastname: Jebbink
authors.affiliation: Department of Surgery, OLVG, Amsterdam, The Netherlands.
authors.forename: Laurens
authors.initials: L
authors.lastname: De Wit
authors.affiliation: Department of Gynaecology & Obstetrics, UMCU, Utrecht, The Netherlands.
authors.forename: Martijn
authors.initials: M
authors.lastname: Oudijk
authors.affiliation: Department of Gynaecology & Obstetrics, UMCU, Utrecht, The Netherlands.
authors.forename: Lucie
authors.initials: L
authors.lastname: Ribbert
authors.affiliation: Department of Gynaecology & Obstetrics, UMCU, Utrecht, The Netherlands.
authors.forename: Sabrin
authors.initials: S
authors.lastname: Tahri
authors.affiliation: Department of Gynaecology & Obstetrics, OLVG, Amsterdam, The Netherlands.
authors.forename: Maria
authors.initials: M
authors.lastname: van Pampus
authors.forename: Mariëlle
authors.initials: M
authors.lastname: van Pampus
mesh_terms: D015746:Abdominal Pain / Q000175:diagnosis* / Q000209:etiology; D000328:Adult; D005260:Female; D015390:Gastric Bypass / Q000009:adverse effects* / Q000379:methods; D006801:Humans; D007443:Intussusception / Q000175:diagnosis* / Q000209:etiology; D010535:Laparoscopy; D009767:Obesity, Morbid / Q000150:complications / Q000601:surgery*; D011183:Postoperative Complications / Q000175:diagnosis*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed; D055815:Young Adult