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A Case Report of Intussusception After Gastric Bypass
Rafik Guerroudj1, Sofia Takkal1, Bernard Hainaux2
1Radiology, Saint Pierre Hospital, Brussels, BEL.
Intussusception, a rare late complication after gastric bypass surgery, can cause abdominal pain and vomiting. Prompt diagnosis via CT scan and surgical intervention, like adhesiolysis, led to a favorable outcome in a recent case.
Area of Science:
- Gastroenterology
- Bariatric Surgery
- Surgical Complications
Background:
- Gastric bypass surgery is a common bariatric procedure.
- Late complications after gastric bypass are infrequent but can be serious.
- Intussusception is a rare but significant cause of intestinal obstruction.
Observation:
- A 53-year-old woman presented with acute abdominal pain and vomiting.
- The patient had undergone a gastric bypass procedure in 2011.
- Computed tomography (CT) scan revealed findings consistent with intussusception.
Findings:
- Laparoscopy confirmed intussusception at the jejuno-jejunal anastomosis.
- No intestinal necrosis was observed.
- Surgical intervention included adhesiolysis and revision of the anastomosis.
Implications:
- This case highlights intussusception as a potential late complication of gastric bypass.
- Early diagnosis using CT imaging is crucial for timely intervention.
- Surgical management can effectively resolve intussusception and lead to positive patient outcomes.
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