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Obesity Surgery
Published in: Obesity Surgery 12/2009

01-12-2009 | Case Report

An Unusual Complication after Roux-en-Y Gastric Bypass: Torsion and Infarction of the Divided Omentum

Authors: T. J. R. Bestman, J. W. Valk, B. Gypen, S. DeClercq, L. Hendrickx

Published in: Obesity Surgery | Issue 12/2009

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Abstract

A 41-year-old male was admitted from the emergency department with severe epigastric and right hypochondric abdominal pain. The patient had a laparoscopic Roux-en-Y gastric bypass operation 12 months previously. An abdominal computed tomography scan showed signs of omental infarction. A laparoscopy was performed and showed a torsion and infarction of the divided greater omentum. Resection of the ischemic omentum was performed.
Literature
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Dallal RM, Bailey LA. Omental infarction: a cause of acute abdominal pain after antecolic gastric bypass. Surg Obes Relat Dis 2006;2:451–4.CrossRef
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Goti F, Hollmann R, Stieger R, et al. Idiopathic segmental infarction of the greater omentum successfully treated by laparoscopy: report of case. Surg Today 2000;30:451–3.CrossRef
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Singh AK, Gervais DA, Hahn PF, et al. Acute epiploic appendagitis and its mimics. Radiographics 2005;25:1521–34.CrossRef
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Carmody B, DeMaria EJ, Jamal M, et al. Internal hernia after laparoscopic Roux-en-Y gastric bypass. Surg Obes Relat Dis 2005;1:543–8.CrossRef
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Karayiannakis AJ, Polychronidis A, Chatzigianni E, et al. Primary torsion of the greater omentum: report of a case. Surg Today 2002;32:913–5.CrossRef
Metadata
Title
An Unusual Complication after Roux-en-Y Gastric Bypass: Torsion and Infarction of the Divided Omentum
Authors
T. J. R. Bestman
J. W. Valk
B. Gypen
S. DeClercq
L. Hendrickx
Publication date
01-12-2009
Publisher
Springer New York
Published in
Obesity Surgery / Issue 12/2009
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-008-9716-3

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