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Acta Obstet Gynecol Scand. 2012 Jul;91(7):873-5. doi: 10.1111/j.1600-0412.2012.01421.x. Epub 2012 May 22.

Pregnant woman with fatal complication after laparoscopic Roux-en-Y gastric bypass.

Author information

1
Department of Obstetrics and Gynaecology, Hvidovre Hospital, University Hospital of Copenhagen, Copenhagen, Denmark. krta@dadlnet.dk

Abstract

In Europe, an increasing number of women have bariatric surgery; therefore, obstetricians are likely to encounter these patients. We report a 22-year-old woman, who had previously undergone uncomplicated laparoscopic Roux-en-Y gastric bypass. She was admitted with severe abdominal pain at 35 weeks of gestation. A cesarean section with delivery of a healthy baby in combination with an exploratory laparotomy was performed. Internal herniation was suspected, but not identified during surgery. Three days later she died of a severely gangrenous small bowel secondary to internal herniation. This fatal case illustrates a potential complication and difficulties in the management of pregnant women who have undergone Roux-en-Y gastric bypass. In these women, observation and investigations based on a multidisciplinary approach are vital if abdominal pain develops, with involvement of intestinal surgeons experienced in bariatric surgery, as well as radiologists with specific knowledge of relevant imaging procedures.

[Indexed for MEDLINE]

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