Laparoscopic managment of strangulated Petersen's hernia in pregnant female after LRYGBP

Background: Management of abdominal pain in a pregnant patient with a history of Roux-en-Y gastric bypass presents unique challenges. Internal hernias are the most common cause of small bowel obstruction after LRYGBP. Internal hernia can result in closed loop obstruction, bowel necrosis, gastric perforation, and death. Presentation: A 29-year-old female 30-week pregnancy with a history of laparoscopic Roux-en-Y gastric bypass 5 years ago. She had a 24 hours of LUQ pain with vomiting. Her pain was attributed initially to UTI.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Source Type: research