Intussusception during pregnancy after laparoscopic Roux-en-Y gastric bypass

BMJ Case Rep. 2014 Nov 18:2014:bcr2014205357. doi: 10.1136/bcr-2014-205357.

Abstract

In fertile women, the laparoscopic Roux-en-Y gastric bypass (LRYGB) is being increasingly performed. Pregnancy and LRYGB both give an increased risk of intussusception, which can lead to bowel necrosis, sepsis and preterm labour. We describe two pregnant women with a history of LRYGB who presented to the emergency department with non-specific abdominal pain. Both were diagnosed with intussusception. These cases illustrate that intussusception should be considered in pregnant women with a history of LRYGB who present with non-specific abdominal pain. Only MRI, CT scan or diagnostic laparoscopy is sufficient for diagnosis. Early diagnosis may prevent serious complications.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Pain / diagnosis*
  • Abdominal Pain / etiology
  • Adult
  • Female
  • Gastric Bypass / adverse effects*
  • Gastric Bypass / methods
  • Humans
  • Intussusception / diagnosis*
  • Intussusception / etiology
  • Laparoscopy
  • Obesity, Morbid / complications
  • Obesity, Morbid / surgery*
  • Postoperative Complications / diagnosis*
  • Pregnancy
  • Pregnancy Complications / diagnosis*
  • Tomography, X-Ray Computed
  • Young Adult