scholarly journals Petersen’s Space Internal Hernia after Laparoscopic One Anastomosis (Mini) Gastric Bypass

2018 ◽  
Vol 2018 ◽  
pp. 1-3 ◽  
Author(s):  
Mohammad Kermansaravi ◽  
Mohammad Kazazi ◽  
Abdolreza Pazouki
Keyword(s):  
Gastric Bypass ◽  
Abdominal Pain ◽  
Internal Hernia ◽  
Signs And Symptoms ◽  
Mini Gastric Bypass ◽  
Complete Obstruction ◽  
Intermittent Abdominal Pain ◽  
Equal Zero ◽  
Case Summary ◽  
Exploratory Laparoscopy

Background. One anastomosis gastric bypass (OAGB) is now considered as an appropriate alternative for Roux-en-Y gastric bypass (RYGB) with some advantages such as absence of risk for internal hernia (IH). But, is really the risk of IH equal zero after OAGB? Case Summary. A 37-year-old male was admitted due to severe abdominal crampy pain, nausea, vomiting, and obstipation. He had chronic and intermittent abdominal pain from 2 years after OAGB. With high suspicion of complete obstruction, the exploratory laparoscopy was performed. Intraoperative findings showed incarcerated bowel hernia from Petersen’s defect. The incarcerated bowel was reduced, and the defect was repaired. The patient was discharged 2 days after operation. Conclusion. The incidence of IH after OAGB is rare but not zero. In any suspicious signs and symptoms for IH, the early exploratory laparoscopy is mandatory to diagnose and treat.

scholarly journals Desmoid tumor at the gastrointestinal anastomosis after a one-anastomosis gastric bypass (mini-gastric bypass): a case report

2020 ◽  
Vol 2020 (1) ◽  
Author(s):  
Yasir Mahnashi ◽  
Atheer S Alotaibi ◽  
Mohammad Aldakhail ◽  
Amer Alshahrani
Keyword(s):  
Gastric Bypass ◽  
Abdominal Pain ◽  
Desmoid Tumor ◽  
Signs And Symptoms ◽  
One Anastomosis Gastric Bypass ◽  
Mini Gastric Bypass ◽  
Gastrojejunal Anastomosis ◽  
Left Hypochondrium ◽  
Post Operation

Abstract Desmoid tumors of the small bowel wall are rare tumors of the gastrointestinal tract. The signs and symptoms ranging from non-specific to severe abdominal pain to the sensation of a mass and abdominal fullness. We present the case of a 48-year-old man who presented 3 years post-one-anastomosis gastric bypass (mini-gastric bypass) with vague abdominal pain and early satiety of one-month duration. A CT scan of the abdomen revealed a well-defined compressive mass in the left hypochondrium. A laparoscopic exploration was performed, but it was converted into a laparotomy due to the huge size of the mass. The desmoid tumor at the gastrojejunal anastomosis was resected, followed by a Roux-en-Y reconstruction. The patient’s postoperative course was uneventful, and he was discharged on the seventh day post-operation. He did not show any signs or symptoms suggestive of complications or recurrence during his follow-up.

Ceftriaxone-Induced Acute Pancreatitis

1993 ◽  
Vol 27 (1) ◽  
pp. 36-37 ◽  
Author(s):  
Anthony E. Zimmermann ◽  
Brian G. Katona ◽  
Joginder S. Jodhka ◽  
Richard B. Williams
Keyword(s):  
Acute Pancreatitis ◽  
Abdominal Pain ◽  
Acute Abdominal Pain ◽  
Signs And Symptoms ◽  
Etiologic Agent ◽  
Antibiotic Regimen ◽  
Intravenous Injections ◽  
Case Summary ◽  
Catheter Sepsis ◽  
History Of

OBJECTIVE: To report a case of probable ceftriaxone-induced acute pancreatitis. CASE SUMMARY: A patient with a history of short-bowel syndrome on home total parenteral nutrition developed fever, chills, and right flank pain. She was diagnosed with gram-negative catheter sepsis and prescribed antibiotic therapy to be administered for four weeks. After completion of the first week of therapy, the antibiotic regimen was changed to intravenous injections of ceftriaxone to be given daily at home. Prior to discharge the patient developed acute abdominal pain, leukocytosis, jaundice, and markedly elevated lipase and amylase concentrations consistent with acute pancreatitis. The patient's condition improved upon discontinuation of the ceftriaxone and the remainder of her stay was uneventful. DISCUSSION: There is only one other case report in the literature of probable ceftriaxone-induced pancreatitis. Multiple other medications have been implicated in causing acute pancreatitis. The exact mechanism of this uncommon adverse effect of ceftriaxone is unknown. CONCLUSIONS: There was a temporal relationship between the development of this patient's signs and symptoms and the administration of ceftriaxone. We could not identify any other factors that may have been responsible for the development of her acute pancreatitis. Ceftriaxone should be considered as a possible etiologic agent in patients who present with acute abdominal pain and elevated lipase and amylase concentrations.

Role of CT imaging in discriminating internal hernia from aspecific abdominal pain following Roux-en-Y gastric bypass: a single high-volume centre experience

2020 ◽  
Vol 72 (4) ◽  
pp. 1115-1124 ◽  
Author(s):  
Veronica Bordonaro ◽  
Maria Gabriella Brizi ◽  
Francesca Lanza ◽  
Pierpaolo Gallucci ◽  
Amato Infante ◽  
...  
Keyword(s):  
Gastric Bypass ◽  
Abdominal Pain ◽  
Internal Hernia ◽  
High Volume ◽  
Ct Imaging

scholarly journals Internal hernia after mini-gastric bypass: Myth or reality?

2016 ◽  
Vol 153 (3) ◽  
pp. 231-232 ◽  
Author(s):  
E. Facchiano ◽  
A. Iannelli ◽  
M. Lucchese
Keyword(s):  
Gastric Bypass ◽  
Internal Hernia ◽  
Mini Gastric Bypass

scholarly journals A Case of Midgut Volvulus Associated with a Jejunal Diverticulum

2017 ◽  
Vol 2017 ◽  
pp. 1-3
Author(s):  
Joseph Gutowski ◽  
Rachel NeMoyer ◽  
Glenn S. Parker
Keyword(s):  
Abdominal Pain ◽  
Small Bowel ◽  
Internal Hernia ◽  
Midgut Volvulus ◽  
Current Case ◽  
Intermittent Abdominal Pain ◽  
Cat Scan ◽  
Jejunal Diverticulum ◽  
Life Threatening ◽  
Swirl Sign

Midgut volvulus in adults is a rare entity that may present with intermittent colicky abdominal pain mixed with completely asymptomatic episodes. This small bowel twist may result in complications of obstruction, ischemia, hemorrhage, or perforation. With a midgut volvulus, complications may be life-threatening, and emergent surgical intervention is the mainstay of treatment. This current case involves an 80-year-old woman with intermittent abdominal pain with increasing severity and decreasing interval of time to presentation. A CAT scan revealed mesenteric swirling with possible internal hernia. A diagnostic laparoscopy followed by laparotomy revealed a midgut volvulus, extensive adhesions involving the root of the mesentery, and a large jejunal diverticulum. The adhesions were lysed enabling untwisting of the bowel, allowing placement of the small bowel in the correct anatomic position and resection of the jejunal diverticulum. This is a rare case of midgut volvulus with intermittent abdominal pain, associated with jejunal diverticulum managed successfully. A midgut volvulus should be considered in the differential diagnosis of a patient who present with a small bowel obstruction secondary to an internal hernia, especially when a swirl sign is present on the CAT scan.

scholarly journals Roux-En-Y By-Pass Ressection Due to Intestinal Ischemia

2021 ◽  
Vol 6 (3) ◽  
Keyword(s):  
Gastric Bypass ◽  
Abdominal Pain ◽  
Obesity Surgery ◽  
Surgical Procedures ◽  
Internal Hernia ◽  
Intestinal Ischemia ◽  
Intestinal Transit ◽  
Emergency Laparotomy ◽  
Ischemic Area ◽  
Primary Surgery

Obesity surgery is one of the most commonly performed surgical procedures today and laparoscopy has become the preferred technique for Roux-en-Y gastric bypass. A patient transferred to the surgery service for an abdominal pain had an abdominal tomography performed which demonstrated an aspect suggestive of internal hernia. Underwent emergency laparotomy. Resection of the ischemic area was performed. Reconstruct intestinal transit was madded 4 days after primary surgery. In this case, the complete ischemia of the Bypass segment has become a challenge to reconstruct the transit.

scholarly journals Abdominal Pain after Gastric Bypass: Labor, Uterine Rupture, or Obstruction and Internal Hernia

2011 ◽  
Vol 2011 ◽  
pp. 1-3
Author(s):  
Sarah N. Cross ◽  
Unzila Nayeri ◽  
Andrew Duffy ◽  
Christian M. Pettker
Keyword(s):  
Gastric Bypass ◽  
Abdominal Pain ◽  
Internal Hernia ◽  
Preterm Labor ◽  
Gastrointestinal Pathology ◽  
Treatment Of Obesity ◽  
Prolonged Hospital ◽  
Reproductive Aged Women ◽  
Emergent Laparotomy ◽  
Surgical Treatment Of Obesity

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.

scholarly journals Internal hernia with Roux loop gangrene in a post

2019 ◽  
Vol 6 (8) ◽  
pp. 2995
Author(s):  
Swaminathan Ganesan ◽  
Satish Devakumar
Keyword(s):  
Gastric Bypass ◽  
Abdominal Pain ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Internal Hernia ◽  
Laparoscopic Exploration ◽  
Internal Hernias ◽  
Elective Repair ◽  
High Degree

High degree suspicion is mandatory in dealing with a post-operative patient presenting with a crampy postprandial abdominal pain, as potential for internal hernias remains fairly under diagnosed. Except in setting of small bowel obstruction or gangrene and radiological proven internal hernia, intervening a patient with herald symptoms is still debatable, though certain authors advocate that in lap. Roux-en Y gastric bypass patients with herald symptoms should promptly be offered elective laparoscopic exploration elective repair safely and expeditiously.

Hernia interna estrangulada por plastrón en el tercio distal del apéndice cecal

2019 ◽  
Vol 62 (6) ◽  
pp. 24-27
Author(s):  
Leslie M. Leyva Sotelo ◽  
José E. Telich Tarriba ◽  
Daniel Ángeles Gaspar ◽  
Osvaldo I. Guevara Valmaña ◽  
André Víctor Baldín ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Small Bowel ◽  
Early Diagnosis ◽  
Intestinal Obstruction ◽  
Acute Abdomen ◽  
Internal Hernia ◽  
Wide Spectrum ◽  
Internal Hernias ◽  
Mild Abdominal Pain ◽  
Made In

Internal hernias are an infrequent cause of intestinal obstruction with an incidence of 0.2-0.9%, therefore their early diagnosis represents a challenge. The most frequently herniated organ is the small bowel, which results in a wide spectrum of symptoms, varying from mild abdominal pain to acute abdomen. We present the case of an eight-year old patient with nonspecific digestive symptoms, a transoperative diagnosis was made in which an internal hernia was found strangulated by plastron in the distal third of the appendix. Appendectomy was performed and four days later the patient was discharged without complications.

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