Abstract | INTRODUCTION AND IMPORTANCE: CASE PRESENTATION AND CLINICAL DISCUSSION: We present a morbid obese female patient 32 years old -with no known medical comorbidity- presented to our bariatric outpatient clinic after laparoscopic sleeve gastrectomy with a chronic progressive history of vomiting, regurgitation, and heartburn of three months which started once/week then progress to 3 times/week duration. After a normal abdominal x-ray, Pelvi-abdominal ultrasound showed mild colonic gaseous distension. The CT virtual gastroscopy with 3D reconstruction revealed significant mid-body kinking with a wavy appearance. A decision was made on a multi-disciplinary approach to do a diagnostic laparoscopy for the patient with a revision of the previous sleeve gastrectomy. Upon entering the intra-abdominal there were extensive adhesions between the sleeved stomach, liver, and pancreas. Intra-operative upper endoscopy was done, and the scope didn't pass at the mid-portion of the sleeved stomach. Conversion to Roux-en-Y gastric bypass had been done with successful results. CONCLUSION:
Gastric volvulus after sleeve gastrectomy is a rare entity presenting vague symptoms and signs and requires a high index of suspicion from the physicians for the proper diagnosis.
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Authors | Amr Elgazar, Merihan A Elbadawy, Ahmed K Awad |
Journal | International journal of surgery case reports
(Int J Surg Case Rep)
Vol. 89
Pg. 106609
(Dec 2021)
ISSN: 2210-2612 [Print] Netherlands |
PMID | 34808443
(Publication Type: Journal Article)
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Copyright | Copyright © 2021. Published by Elsevier Ltd. |