Skip to main content
SpringerLink
Log in

An Unusual Complication after Roux-en-Y Gastric Bypass: Torsion and Infarction of the Divided Omentum

  • Case Report
  • Published:
Obesity Surgery Aims and scope Submit manuscript

Abstract

A 41-year-old male was admitted from the emergency department with severe epigastric and right hypochondric abdominal pain. The patient had a laparoscopic Roux-en-Y gastric bypass operation 12 months previously. An abdominal computed tomography scan showed signs of omental infarction. A laparoscopy was performed and showed a torsion and infarction of the divided greater omentum. Resection of the ischemic omentum was performed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

References

  1. Lönroth H, Dalenbäck J, Haglind E, et al. Laparoscopic gastric bypass. Another option in bariatric surgery. Surg Endosc 1996;10:636–8.

    Article  Google Scholar 

  2. Dallal RM, Bailey LA. Omental infarction: a cause of acute abdominal pain after antecolic gastric bypass. Surg Obes Relat Dis 2006;2:451–4.

    Article  Google Scholar 

  3. Goti F, Hollmann R, Stieger R, et al. Idiopathic segmental infarction of the greater omentum successfully treated by laparoscopy: report of case. Surg Today 2000;30:451–3.

    Article  CAS  Google Scholar 

  4. Singh AK, Gervais DA, Hahn PF, et al. Acute epiploic appendagitis and its mimics. Radiographics 2005;25:1521–34.

    Article  Google Scholar 

  5. Carmody B, DeMaria EJ, Jamal M, et al. Internal hernia after laparoscopic Roux-en-Y gastric bypass. Surg Obes Relat Dis 2005;1:543–8.

    Article  Google Scholar 

  6. Champion JK, Williams M. Small bowel obstruction and internal hernias after laparoscopic Roux-en-Y gastric bypass. Obes Surg 2003;13:596–600.

    Article  Google Scholar 

  7. Kim J, Kim Y, Cho OK, et al. Omental torsion: CT features. Abdom Imaging 2004;29:502–4.

    CAS  PubMed  Google Scholar 

  8. Karayiannakis AJ, Polychronidis A, Chatzigianni E, et al. Primary torsion of the greater omentum: report of a case. Surg Today 2002;32:913–5.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of General and Bariatric surgery, ZNA Stuivenberg Hospital, Lange Beeldekensstraat 267, 2060, Antwerp, Belgium

    T. J. R. Bestman, J. W. Valk, B. Gypen, S. DeClercq & L. Hendrickx

Authors
  1. T. J. R. Bestman
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. J. W. Valk
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. B. Gypen
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. S. DeClercq
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. L. Hendrickx
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to T. J. R. Bestman.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Bestman, T.J.R., Valk, J.W., Gypen, B. et al. An Unusual Complication after Roux-en-Y Gastric Bypass: Torsion and Infarction of the Divided Omentum. OBES SURG 19, 1731–1733 (2009). https://doi.org/10.1007/s11695-008-9716-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11695-008-9716-3

Keywords

Search

Navigation