Article ; Online: Pregnant patient with acute abdominal pain and previous bariatric surgery.
BMJ case reports
2019 Volume 12, Issue 8
Abstract: Pregnant women who previously had bariatric surgery may develop acute abdominal pain during pregnancy. Two patients, 38-year-old twin primigravida (gestational age of 24+6 weeks) and a 26-year-old woman (gestational age of 24+0 weeks), both of whom had ... ...
Abstract | Pregnant women who previously had bariatric surgery may develop acute abdominal pain during pregnancy. Two patients, 38-year-old twin primigravida (gestational age of 24+6 weeks) and a 26-year-old woman (gestational age of 24+0 weeks), both of whom had laparoscopic gastric bypass surgery previously, developed abdominal pain. The patients both had diffuse abdominal pain in combination with normal blood tests and imaging. Patient B had undergone laparoscopy at another centre after 5 weeks of gestation for internal herniation. After referral to our multidisciplinary bariatric-obstetric-neonatal (MD-BON) team, diagnostic laparoscopy was advised as internal herniation was deemed possible. In both patients, internal herniation was indeed found in Petersen's space and jejunal mesenteric defect, which was closed using laparoscopic surgery. Both women delivered healthy offspring afterwards. The presence of an MD-BON team allows for an increased awareness of potential long-term complications associated with earlier bariatric surgery in pregnancy. |
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MeSH term(s) | Abdominal Pain/etiology ; Adult ; Bariatric Surgery ; Female ; Hernia, Abdominal/complications ; Hernia, Abdominal/diagnosis ; Hernia, Abdominal/diagnostic imaging ; Hernia, Abdominal/surgery ; Humans ; Laparoscopy ; Pregnancy ; Pregnancy Complications/diagnosis ; Pregnancy Complications/diagnostic imaging ; Pregnancy Complications/surgery ; Pregnancy Trimester, Second ; Pregnancy, Twin |
Language | English |
Publishing date | 2019-08-21 |
Publishing country | England |
Document type | Case Reports ; Journal Article |
ISSN | 1757-790X |
ISSN (online) | 1757-790X |
DOI | 10.1136/bcr-2018-228962 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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