A 27-year-old woman underwent laparoscopic Roux-en-Y gastric bypass. A retrocolic-retrogastric herniation of most of the small bowel and later a gastric perforation due to internal hernia at the mesenteric defect of the jejuno-jejunostomy occurred. These unusual, but not rare, complications are directly related to the neoanatomy that follows gastric bypass and can lead to rapidly progressing and life-threatening situations. Proper evaluation of clinical signs and symptoms, early abdominal CT scan, and urgent operative intervention are mandatory to achieve a successful outcome.
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Serra, C., Baltasar, A., Bou, R. et al. Internal Hernias and Gastric Perforation After a Laparoscopic Gastric Bypass. OBES SURG 9, 546–549 (1999). https://doi.org/10.1381/096089299765552648
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DOI: https://doi.org/10.1381/096089299765552648