Small bowel obstruction caused by rare intraluminal hematoma secondary to gastric bypass: a case report

Yıl 2025, Cilt: 16 Sayı: 1, 1 - 3, 28.03.2025

Shamil Aliyev , Hakan Seyit , İlke Dolğun

https://doi.org/10.33706/jemcr.1447143

Öz

Abstract
Introduction: With the increase in obesity and therefore obesity surgery in the world, there is also an increase in surgery-related complications. Mechanical small bowel obstruction after gastric bypass is a common complication and the most common causes of obstruction are kinking or stenosis of the entero-enterostomy, internal herniation, adhesions, external compression on the transverse mesocolon, incarceration of an abdominal wall hernia, or intussusception. One of these complications is intraluminal hematoma, which, although rare, has dangerous consequences that can even lead to mortality. Since it is a life-threatening complication, early diagnosis and emergency intervention are important.
Case report: In this case report, we wanted to emphasize the early effectiveness of radiology and surgery in the diagnosis and treatment processes of a patient with intraluminal hematoma after laparoscopic roux-NY gastric bypass.
Conclusion: . The most common location of intraluminal hematoma is the jejunojejunal anastomosis area. Symptoms may occur earlier (at the 12th postoperative hour). Whole-abdominal MDCT remains the main method of diagnosing intestinal obstruction, including small bowel obstruction resulting from intraluminal hematoma.

Anahtar Kelimeler

gastric bypass, intraluminal hematoma, complication, emergency surgery, computed tomography

Etik Beyan

Informed consent was obtained from the patient for this case report.

Destekleyen Kurum

none

Kaynakça

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