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

Case Reports in Obstetrics and Gynecology
Sarah N CrossChristian M Pettker

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.

References

Sep 10, 1998·Obesity Surgery·A C WittgroveG W Clark
Aug 13, 2004·The New England Journal of Medicine·Kimberly A MooreEdward E Whang
Oct 14, 2004·JAMA : the Journal of the American Medical Association·Henry BuchwaldKaren Schoelles
Sep 23, 2006·Obesity Surgery·Ahmed R Ahmed, William O'Malley
Jan 19, 2008·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Jitesh A PatelJoseph J Colella
Jul 25, 2009·Surgery·Geoffrey P KohnTimothy M Farrell

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Citations

Nov 5, 2013·The Journal of Emergency Medicine·Jill E Reiss, Vinod K Garg

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Methods Mentioned

BETA
gastric bypass
cesarean section

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