@entity698 after laparoscopic Roux-enY gastric bypass: pitfalls in diagnosing a surgical Abdomen in the morbidly XXXX .

@entity1 @entity32 @entity698 @entity28 @entity298 @entity591 @entity733 @entity490 @entity204 @entity221 @entity491
A recent gastric bypass can mask the symptoms of an acute abdomen. Physical examination is generally unreliable and subtle clinical symptoms or signs should alert clinicians to a significant postoperative problem. In morbidly @entity28 @entity1 , the presence of overt peritoneal findings is usually ominous, leading to sepsis, organ failure and @entity204 . We report a case of @entity698 following a laparoscopic Roux-en-Y gastric bypass. The @entity1 developed @entity591 , @entity221 , and @entity491 in the absence of @entity490 or positive upper GI contrast studies. Eventually, a CT scan revealed a large pelvic @entity733 and @entity32 . A subsequent exploratory laparotomy confirmed a @entity698 with @entity298 . Her recovery was rapid and uneventful. This case highlights the pitfalls in promptly diagnosing an unrelated acute surgical abdomen postoperatively in the morbidly @entity28 @entity1 . The need for extreme vigilance and a low threshold for aggressive intervention in the period after bariatric surgery is emphasized.
