Perforated duodenal ulcer in a Roux-en-Y gastric bypass operated patient can be a diagnostic challenge

Roux-en-Y gastric bypass (RYGBP) is an increasingly used procedure when treating morbid obesity. Due to the extensive gastrointestinal rearrangement, diagnostic evaluation of patients with gastric bypass and acute abdominal pain can be difficult. We present a case of a perforated duodenal ulcer in a...

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Bibliographic Details
Published inUgeskrift for læger Vol. 175; no. 9; p. 586
Main Authors Wied, Christian, Akralið, Guðny B, Lauritsen, Morten Laksáfoss, Naver, Lars Peter Skat
Format Journal Article
LanguageDanish
Published Denmark 25.02.2013
Subjects
Abdominal Pain - etiology
Adult
Ascitic Fluid - diagnostic imaging
Duodenal Ulcer - complications
Gastric Bypass - adverse effects
Humans
Male
Obesity, Morbid - surgery
Peptic Ulcer Perforation - complications
Peptic Ulcer Perforation - diagnosis
Peptic Ulcer Perforation - diagnostic imaging
Peptic Ulcer Perforation - drug therapy
Pneumoperitoneum - diagnostic imaging
Pneumoperitoneum - etiology
Postoperative Complications - diagnosis
Postoperative Complications - diagnostic imaging
Postoperative Complications - drug therapy
Tomography, X-Ray Computed
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Summary:Roux-en-Y gastric bypass (RYGBP) is an increasingly used procedure when treating morbid obesity. Due to the extensive gastrointestinal rearrangement, diagnostic evaluation of patients with gastric bypass and acute abdominal pain can be difficult. We present a case of a perforated duodenal ulcer in a RYGBP operated patient, where free abdominal fluid, but hardly any pneumoperitoneum was seen on a computed tomography. Free intraperitoneal fluid is an important finding and should give suspicion of the need for emergency surgery in RYGBP operated patients with abdominal pain.
ISSN:1603-6824