Abdominal Pain after Gastric Bypass: Labor, Uterine Rupture, or Obstruction and Internal Hernia
Background. Although gastric bypass may reduce obesity-related complications of subsequent pregnancies, surgical complications requiring antenatal and postpartum interventions are not uncommon. Case. A 26-year-old G4P1112 status post-Roux-en-Y gastric bypass required multiple urgent antenatal evalua...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2011/415795 |
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| author | Sarah N. Cross Unzila Nayeri Andrew Duffy Christian M. Pettker |
| author_facet | Sarah N. Cross Unzila Nayeri Andrew Duffy Christian M. Pettker |
| author_sort | Sarah N. Cross |
| collection | DOAJ |
| description | Background. Although gastric bypass may reduce obesity-related complications of subsequent pregnancies, surgical complications requiring antenatal and postpartum interventions are not uncommon. Case. A 26-year-old G4P1112 status post-Roux-en-Y gastric bypass required multiple urgent antenatal evaluations due to frequent episodes of abdominal pain. At 35 + 4 weeks, she presented with severe abdominal pain; initial evaluation was negative for gastrointestinal pathology. The patient was found to be in preterm labor and underwent a repeat cesarean section. The postoperative course was complicated by bowel obstruction due to internal hernia resulting in an emergent laparotomy and a prolonged hospital course. Conclusion. As more reproductive-aged women opt for surgical treatment of obesity, it is essential that obstetricians recognize complications to be able to counsel and appropriately care for these patients. |
| format | Article |
| id | doaj-art-cd3b391ef5214c2ca9489cb1022bbc44 |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-cd3b391ef5214c2ca9489cb1022bbc442025-02-03T01:22:12ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922011-01-01201110.1155/2011/415795415795Abdominal Pain after Gastric Bypass: Labor, Uterine Rupture, or Obstruction and Internal HerniaSarah N. Cross0Unzila Nayeri1Andrew Duffy2Christian M. Pettker3Department of Obstetrics, Gynecology & Reproductive Sciences, Yale School of Medicine, Yale University, 333 Cedar Street, P.O. Box 208063, New Haven, CT 06520-8063, USADepartment of Obstetrics, Gynecology & Reproductive Sciences, Yale School of Medicine, Yale University, 333 Cedar Street, P.O. Box 208063, New Haven, CT 06520-8063, USADepartment of Surgery, Yale University School of Medicine, New Haven, CT 06510, USADepartment of Obstetrics, Gynecology & Reproductive Sciences, Yale School of Medicine, Yale University, 333 Cedar Street, P.O. Box 208063, New Haven, CT 06520-8063, USABackground. Although gastric bypass may reduce obesity-related complications of subsequent pregnancies, surgical complications requiring antenatal and postpartum interventions are not uncommon. Case. A 26-year-old G4P1112 status post-Roux-en-Y gastric bypass required multiple urgent antenatal evaluations due to frequent episodes of abdominal pain. At 35 + 4 weeks, she presented with severe abdominal pain; initial evaluation was negative for gastrointestinal pathology. The patient was found to be in preterm labor and underwent a repeat cesarean section. The postoperative course was complicated by bowel obstruction due to internal hernia resulting in an emergent laparotomy and a prolonged hospital course. Conclusion. As more reproductive-aged women opt for surgical treatment of obesity, it is essential that obstetricians recognize complications to be able to counsel and appropriately care for these patients.http://dx.doi.org/10.1155/2011/415795 |
| spellingShingle | Sarah N. Cross Unzila Nayeri Andrew Duffy Christian M. Pettker Abdominal Pain after Gastric Bypass: Labor, Uterine Rupture, or Obstruction and Internal Hernia Case Reports in Obstetrics and Gynecology |
| title | Abdominal Pain after Gastric Bypass: Labor, Uterine Rupture, or Obstruction and Internal Hernia |
| title_full | Abdominal Pain after Gastric Bypass: Labor, Uterine Rupture, or Obstruction and Internal Hernia |
| title_fullStr | Abdominal Pain after Gastric Bypass: Labor, Uterine Rupture, or Obstruction and Internal Hernia |
| title_full_unstemmed | Abdominal Pain after Gastric Bypass: Labor, Uterine Rupture, or Obstruction and Internal Hernia |
| title_short | Abdominal Pain after Gastric Bypass: Labor, Uterine Rupture, or Obstruction and Internal Hernia |
| title_sort | abdominal pain after gastric bypass labor uterine rupture or obstruction and internal hernia |
| url | http://dx.doi.org/10.1155/2011/415795 |
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