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[Omental infarct after a gastric by-pass]
T Auguste1, Y Le Roux, J-L Brefort
1Service de chirurgie viscérale, endocrinienne et bariatrique, CHU Côte-de-Nacre - Caen. auguste-t@chu-caen.fr
Journal De Chirurgie
|October 29, 2008
Summary
A gastric bypass patient experienced severe pain, initially suspected as an anastomotic leak. However, CT scans revealed omental necrosis, allowing for non-surgical management and complete symptom resolution.
Area of Science:
- Gastroenterology
- Surgical Case Reports
- Abdominal Imaging
Background:
- Laparoscopic gastric bypass is a common bariatric surgery.
- Late complications, such as anastomotic leaks, can occur post-gastric bypass.
- Accurate diagnosis is crucial for appropriate patient management.
Observation:
- A 56-year-old woman presented with acute epigastric pain 25 days after laparoscopic gastric bypass.
- Clinical signs suggested localized peritoneal irritation and inflammation.
- Initial suspicion was a late anastomotic leak.
Findings:
- Abdominal CT scan revealed necrosis of the greater omentum.
- No evidence of a late anastomotic leak was identified.
- The omental necrosis was located beneath the left hepatic lobe.
Implications:
- Omental necrosis can mimic symptoms of anastomotic leak after gastric bypass.
- Non-surgical management may be appropriate for omental necrosis.
- Conservative observation led to complete symptom resolution in this case.
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