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 language | English |
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Article number | 91 |
Journal | BMC Surgery |
Volume | 20 |
Issue number | 1 |
DOIs | |
State | Published - 6 May 2020 |
Bibliographical note
Publisher Copyright:© 2020 The Author(s).
Keywords
- Bariatric surgery
- Case report
- Chylous ascites
- Gastric bypass
- Internal hernia