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- Title
Cecal volvulus as a rare complication of internal hernia after Roux-en-Y gastric bypass: a case report and literature review.
- Authors
Heck, Marvin; Kensing, Benjamin C; Ismael, Hishaam N
- Abstract
This case report describes a rare instance of cecal volvulus resulting from an internal hernia through Petersen's space, occurring 20 years after Roux-en-Y gastric bypass surgery, marking it as the second such case in English literature. An 81-year-old female presented with symptoms of bowel obstruction, and imaging findings concerning for cecal volvulus. Emergency surgery revealed necrotic bowel due to an internal hernia, necessitating a right hemicolectomy, with subsequent successful anastomosis and hernia defect closure. The incidence of internal hernias post-gastric bypass is notable, emphasizing the critical need for surgical vigilance. This case underscores the importance of considering internal hernias in differential diagnoses for bowel obstruction in post-bariatric surgery patients, highlighting the life-saving role of prompt surgical intervention in the management of cecal volvulus complications.
- Subjects
VOLVULUS; GASTRIC bypass; LITERATURE reviews; HERNIA; SURGICAL emergencies; RIGHT hemicolectomy
- Publication
Journal of Surgical Case Reports, 2024, Vol 2024, Issue 4, p1
- ISSN
2042-8812
- Publication type
Case Study
- DOI
10.1093/jscr/rjae252