Warsza Bogna, Richter Blazej
Department of Radiology, Haugesund hospital Helse Fonna, Haugesund, Norway.
Department of Radiology, Haugesund hospital, University of Bergen, Norway.
J Radiol Case Rep. 2018 Jan 31;12(1):9-16. doi: 10.3941/jrcr.v12i1.3257. eCollection 2018 Jan.
Laparoscopic Roux-en-Y gastric bypass has become the most common obesity surgery procedure worldwide over the last two decades. Many patients undergoing the procedure are women of reproductive age. This carries a risk for developing gastric bypass-related complications during pregnancy. One of the potentially serious risks is an internal hernia. We present a patient in the third trimester of pregnancy with an internal hernia following a laparoscopic Roux-en-Y gastric bypass for morbid obesity. We discuss the importance of computed tomography (CT) in the diagnosis of an internal hernia and review key CT findings including compression of the superior mesenteric vein, which proved to be crucial in diagnosing the internal hernia in this patient.
在过去二十年里，腹腔镜Roux-en-Y胃旁路手术已成为全球最常见的肥胖症外科手术。许多接受该手术的患者是育龄女性。这使得她们在怀孕期间有发生胃旁路手术相关并发症的风险。其中一个潜在的严重风险是内疝。我们报告一例妊娠晚期患者，其因病态肥胖接受腹腔镜Roux-en-Y胃旁路手术后发生了内疝。我们讨论了计算机断层扫描（CT）在诊断内疝中的重要性，并回顾了关键的CT表现，包括肠系膜上静脉受压，这在诊断该患者的内疝中被证明至关重要。
