A 67-year-old woman with a history of laparoscopic adjustable gastric banding 15 years ago was admitted with abdominal pain associated with nausea, vomiting, and respiratory distress. The patient’s comorbidities were psychiatric disease and eventration’s repairs. The patient was hemodynamically unstable with a heart rate of 125 bpm and mean arterial pressure of 80 mm Hg. Physical investigation revealed diffuse abdominal pain associated with an abdominal guarding, a distended abdomen, and absent bowel sounds. Laboratory tests revealed an increase in C-reactive protein and leukocytosis, acidosis, hyponatremia, and acute renal failure. A CT scan without injection revealed a small bowel obstruction (SBO) in the right lower quadrant with ischemic signs (mesenteric infiltration, walls’ thickening) (Figure 1, A). A surgery was required via a midline laparotomy because of the patient’s clinical deterioration and the high suspicion of small bowel ischemia (Figure 2).
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- Critical analysis of surgical treatment techniques of morbid obesity.Arq Bras Cir Dig. 2019; 32e1450
- Laparoscopic adjustable gastric banding, the past, the present and the future.Ann Transl Med. 2020; 8: S4
- Complications of adjustable gastric banding surgery for obesity.Am Fam Physician. 2014; 89: 813-818
Published online: April 29, 2022
Accepted: March 24, 2022
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