An unusual case of perisplenic small bowel volvulus after laparoscopic Roux En Y gastric bypass. Issue 2 (19th February 2019)

• Record Type: Journal Article
• Authors: Sharma, Nitin; Chau, Wai Yip; Dobruskin, Lisa
• Is Part Of: Journal of surgical case reports. Volume 2019:Issue 2(2019)
• Publication Date: 2019-02-19
• Subjects: Surgery -- Periodicals; Surgery -- Case studies -- Periodicals; 617.005
• DOI: 10.1093/jscr/rjz042
• Languages: English
• ISSNs: 2042-8812

Abstract

Abstract: Internal hernias (IH) are one of the dreadful complications of laparoscopic Roux En Y gastric bypass (LGBP). Commonly reported internal hernias (IH) following Roux En Y gastric bypass (LGBP) in the literature are meso-colic, meso jejunal and Peterson's space hernias. These patients may not have any definitive symptoms. Findings are often missed on radiological studies and a high index of clinical suspicion is often necessary. If in doubt, a timely diagnostic laparoscopy is critical to decrease morbidity and mortality in these patients. We present a very unusual case of peri-splenic small bowel herniation with volvulus following LGBP with indeterminate radiological findings. Our case emphasizes that early laparoscopy is both diagnostic and therapeutic for desirable clinical outcomes.