Jejunojejunal intussusception in a pregnant woman after Roux-en-Y gastric bypass – case report

Pedro M. Azevedo; Catarina C. Gomes; Pedro B. Amado; Sílvia A. Silva; Carolina C. Gomes; Rita C. Garrido

doi:10.18203/2349-2902.isj20243248

Authors

Pedro M. Azevedo Department of General Surgery, Unidade Local de Saúde Loures Odivelas, Loures, Portugal
Catarina C. Gomes Department of General Surgery, Unidade Local de Saúde Loures Odivelas, Loures, Portugal
Pedro B. Amado Department of General Surgery, Unidade Local de Saúde Loures Odivelas, Loures, Portugal
Sílvia A. Silva Department of General Surgery, Unidade Local de Saúde Loures Odivelas, Loures, Portugal
Carolina C. Gomes Department of Gynaecology and Obstetrics, Unidade Local de Saúde Loures Odivelas, Loures, Portugal
Rita C. Garrido Department of General Surgery, Unidade Local de Saúde Loures Odivelas, Loures, Portugal

DOI:

https://doi.org/10.18203/2349-2902.isj20243248

Keywords:

Intussusception, Roux-en-Y, Bypass, Pregnancy

Abstract

The Roux-en-Y gastric bypass is a surgical procedure used in the treatment of morbid obesity. However, it may come with late complications, such as the intussusception, whose risk can be increased by pregnancy. Diagnosis is made with the combination of clinical and imaging data and is treated surgically. Reduction and enteropexy alone are associated with an increased risk of recurrence and jejunojejunostomy revision is mandatory when facing bowel ischemia. We share a clinical case of a pregnant patient, at 33 weeks and 3 days gestation, who had this complication and had to be submitted to cesarean section and small bowel resection.

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