Late sigmoid colon internal herniation into the jejuno-jejunostomy mesenteric defect after laparoscopic Roux-en-Y gastric bypass

A 49-year-old female with morbid obesity (BMI 42) underwent laparoscopic Roux-en-Y gastric bypass (LRYGBP). 10 months after the operation, she presented to the hospital with intermittent mid-abdominal pain. An internal hernia of the sigmoid colon through a mesenteric defect of the jejuno-jejunostomy...

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Bibliographic Details
Published in:Obesity surgery 2006-02, Vol.16 (2), p.208-210
Main Authors: Row, David, Maddineni, Sridevi, Maffucci, Leonard, Rangraj, Madhu
Format: Article
Language:English
Subjects:
Anastomosis, Roux-en-Y - adverse effects
Anastomosis, Roux-en-Y - methods
Body Mass Index
Colon, Sigmoid - physiopathology
Colon, Sigmoid - surgery
Colonic Diseases - etiology
Colonic Diseases - physiopathology
Colonic Diseases - surgery
Female
Follow-Up Studies
Gastric Bypass - adverse effects
Gastric Bypass - methods
Gastrointestinal surgery
Hernia, Abdominal - etiology
Hernia, Abdominal - physiopathology
Hernia, Abdominal - surgery
Hernias
Humans
Jejunostomy
Laparoscopy - adverse effects
Laparoscopy - methods
Middle Aged
Obesity
Obesity, Morbid - diagnosis
Obesity, Morbid - surgery
Reoperation
Risk Assessment
Surgical outcomes
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Description
Summary:A 49-year-old female with morbid obesity (BMI 42) underwent laparoscopic Roux-en-Y gastric bypass (LRYGBP). 10 months after the operation, she presented to the hospital with intermittent mid-abdominal pain. An internal hernia of the sigmoid colon through a mesenteric defect of the jejuno-jejunostomy was found. Although small bowel internal herniation has been widely documented, the finding of large bowel internal herniation has not been previously reported. Maintaining a high index of suspicion and a low threshold for urgent intervention are required when evaluating patients with vague abdominal complaints after LRYGBP.
ISSN:0960-8923
1708-0428
DOI:10.1381/096089206775565087