Open AccessInternal Hernia in Pregnant Woman after Roux-en-Y Gastric Bypass Surgery
Author(s) -
Bogna Warsza,
Blazej Konrad Richter
Publication year - 2018
Publication title -
journal of radiology case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.154
H-Index - 18
ISSN - 1943-0922
DOI - 10.3941/jrcr.v12i1.3257
Subject(s) - medicine , internal hernia , gastric bypass , roux en y anastomosis , hernia , surgery , gastric bypass surgery , morbid obesity , pregnancy , general surgery , obesity , weight loss , biology , genetics
Laparoscopic Roux-en-Y gastric bypass has become the most common obesity surgery procedure worldwide over the last two decades. Many patients undergoing the procedure are women of reproductive age. This carries a risk for developing gastric bypass-related complications during pregnancy. One of the potentially serious risks is an internal hernia. We present a patient in the third trimester of pregnancy with an internal hernia following a laparoscopic Roux-en-Y gastric bypass for morbid obesity. We discuss the importance of computed tomography (CT) in the diagnosis of an internal hernia and review key CT findings including compression of the superior mesenteric vein, which proved to be crucial in diagnosing the internal hernia in this patient.