Internal hernia with Roux loop gangrene in a post freys patient


  • Swaminathan Ganesan Department of General Surgery, Sree Balaji Medical College and Hospital, Chennai, India
  • Satish Devakumar Department of Surgical Gastroenterology, Institute of Surgical Gastroenterology, Madras Medical College, Chennai, India



Internal hernia, Post-operative Frey’s patient, Roux loop gangrene


High degree suspicion is mandatory in dealing with a post-operative patient presenting with a crampy postprandial abdominal pain, as potential for internal hernias remains fairly under diagnosed. Except in setting of small bowel obstruction or gangrene and radiological proven internal hernia, intervening a patient with herald symptoms is still debatable, though certain authors advocate that in lap. Roux-en Y gastric bypass patients with herald symptoms should promptly be offered elective laparoscopic exploration elective repair safely and expeditiously.


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