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A near-fatal case of intussusception and ischaemic perforation of stomach in first-trimester pregnancy: eight years after laparoscopic Roux-en-Y gastric bypass
  1. Rajarshi Bhadra1,
  2. Meyappan Somasundaram1,
  3. Michael M Nowak2 and
  4. Keyvan Ravakhah1
  1. 1 Internal Medicine, St. Vincent Charity Medical Center, Cleveland, Ohio, USA
  2. 2 St. Vincent Charity Medical Center, The Center for Bariatric Surgery, Cleveland, Ohio, USA
  1. Correspondence to Dr Rajarshi Bhadra, drrajarshibhadra{at}


The increasing demand and popularity of bariatric surgery are not only due to the ever-increasing obesity epidemic but to tackle obesity-related comorbidities like diabetes and hypertension. However, bariatric surgery is not free of complications. One rare complication is intussusception, jejuno-jejunal intussusception being the most common. Intussusception has been defined both in pregnant and in non-pregnant women as well as men. We describe the case of a 40-year-old woman in the first trimester of pregnancy came to the hospital with worsening abdominal pain, was found to have intussusception of small bowel involving the jejunum, along with ischaemic perforation and necrosis of the fundus of the stomach. Postsurgery, the patient had a complete recovery and eventually, she successfully delivered an intact, viable fetus.

  • obesity (nutrition)
  • pregnancy
  • gastrointestinal surgery
  • small intestine
  • stomach and duodenum

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  • Contributors RB: was involved in planning, conduct, reporting, conception/ design of the work, the collection of relevant data and images, writing and submitting the manuscript. He has been involved in direct care of the patient as well. MS: was involved in literature search, review of data analysis, interpretation of data and an overview of the final draft. MMN: revised the work critically, added special comments from the experience operating on the patient and invaluable views on the overall writing of the manuscript. KR: gave final approval of the version published and review of the literature. He was the primary attending under whom the patient was admitted. He gave all critical details necessary for the overall care of the patient, hence his comments and reviews were very important.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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