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Case Rep Obstet Gynecol. 2011;2011:415795. doi: 10.1155/2011/415795. Epub 2011 Nov 24.

Abdominal pain after gastric bypass: labor, uterine rupture, or obstruction and internal hernia.

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1
Department of Obstetrics, Gynecology & Reproductive Sciences, Yale School of Medicine, Yale University, 333 Cedar Street, P.O. Box 208063, New Haven, CT 06520-8063, USA.

Abstract

BACKGROUND:

Although gastric bypass may reduce obesity-related complications of subsequent pregnancies, surgical complications requiring antenatal and postpartum interventions are not uncommon.

CASE:

A 26-year-old G4P1112 status post-Roux-en-Y gastric bypass required multiple urgent antenatal evaluations due to frequent episodes of abdominal pain. At 35 + 4 weeks, she presented with severe abdominal pain; initial evaluation was negative for gastrointestinal pathology. The patient was found to be in preterm labor and underwent a repeat cesarean section. The postoperative course was complicated by bowel obstruction due to internal hernia resulting in an emergent laparotomy and a prolonged hospital course.

CONCLUSION:

As more reproductive-aged women opt for surgical treatment of obesity, it is essential that obstetricians recognize complications to be able to counsel and appropriately care for these patients.

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