Chylous ascites as a late complication of one anastomosis gastric bypass-minigastric bypass: Case report

Ibrahim Abu Shakra, Maxim Bez, Amitai Bickel, Walid Kassis, Samer Ganam, Fahed Merei, Nour Karra, Khatib Kamal, Doron Fischer, Eli Kakiashvili

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Background: One anastomosis gastric bypass- minigastric bypass (OAGB-MGB) is an emerging bariatric surgery that is being endorsed by surgeons worldwide. Internal herniation is a rare and dreaded complication after malabsorptive bariatric procedures, which necessitates early diagnosis and intervention. Case presentation: We describe a 29-year-old male with chylous ascites caused by an internal hernia 8 months following laparoscopic one anastomosis gastric bypass. An abdominal CT showed enlargement of lymph nodes at the mesentery, with a moderate amount of liquid in the abdomen and pelvis. An emergent exploratory laparoscopic surgery demonstrated an internal hernia at the Petersen's space with a moderate quantity of chylous ascites. The patient made an uneventful recovery after surgery. Conclusions: Internal herniation can occur after OAGB-MGB and in extremely rare cases lead to chylous ascites. To our knowledge, this is the first reported case of chylous ascites following one anastomosis gastric bypass.

Original languageEnglish
Article number91
JournalBMC Surgery
Volume20
Issue number1
DOIs
StatePublished - 6 May 2020

Bibliographical note

Publisher Copyright:
© 2020 The Author(s).

Keywords

  • Bariatric surgery
  • Case report
  • Chylous ascites
  • Gastric bypass
  • Internal hernia

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