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Obesity Surgery

, Volume 19, Issue 12, pp 1731–1733 | Cite as

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

  • T. J. R. BestmanEmail author
  • J. W. Valk
  • B. Gypen
  • S. DeClercq
  • L. Hendrickx
Case Report

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.

Keywords

Omental torsion Infarction Morbid obesity Roux-en-Y gastric bypass 

References

  1. 1.
    Lönroth H, Dalenbäck J, Haglind E, et al. Laparoscopic gastric bypass. Another option in bariatric surgery. Surg Endosc 1996;10:636–8.CrossRefGoogle Scholar
  2. 2.
    Dallal RM, Bailey LA. Omental infarction: a cause of acute abdominal pain after antecolic gastric bypass. Surg Obes Relat Dis 2006;2:451–4.CrossRefGoogle Scholar
  3. 3.
    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.CrossRefGoogle Scholar
  4. 4.
    Singh AK, Gervais DA, Hahn PF, et al. Acute epiploic appendagitis and its mimics. Radiographics 2005;25:1521–34.CrossRefGoogle Scholar
  5. 5.
    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.CrossRefGoogle Scholar
  6. 6.
    Champion JK, Williams M. Small bowel obstruction and internal hernias after laparoscopic Roux-en-Y gastric bypass. Obes Surg 2003;13:596–600.CrossRefGoogle Scholar
  7. 7.
    Kim J, Kim Y, Cho OK, et al. Omental torsion: CT features. Abdom Imaging 2004;29:502–4.PubMedGoogle Scholar
  8. 8.
    Karayiannakis AJ, Polychronidis A, Chatzigianni E, et al. Primary torsion of the greater omentum: report of a case. Surg Today 2002;32:913–5.CrossRefGoogle Scholar

Copyright information

© Springer Science + Business Media, LLC 2008

Authors and Affiliations

  • T. J. R. Bestman
    • 1
  • J. W. Valk
    • 1
  • B. Gypen
    • 1
  • S. DeClercq
    • 1
  • L. Hendrickx
    • 1
  1. 1.Department of General and Bariatric surgeryZNA Stuivenberg HospitalAntwerpBelgium

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