Internal XXXX in late pregnancy after laparoscopic Roux-en-Y gastric bypass.

@entity1 @entity3313 @entity254 @entity3041 @entity490 @entity547 @entity298
A 27-year-old @entity1 in late pregnancy presented to the department of obstetrics with crampy @entity490 located in the right flank, 3   years after a laparoscopic Roux-en-Y gastric bypass. Clinical investigation showed tenderness on palpation in the upper abdomen without signs of @entity298 . The cardiotocogram and blood tests were normal. The ultrasound showed a @entity3041 on the right side, and a pigtail catheter was inserted. The abdominal symptoms did not abate and the abdominal surgeon was consulted 36   hours after admission. Diagnostic laparoscopy was performed promptly because of high suspicion of @entity547 ( @entity547 ). Laparoscopy showed @entity547 at the mesojejunal intermesenteric defect with a herniated common channel and @entity3313 of the @entity254 . Conversion to open reduction and complete closure with non-absorbable interrupted sutures was performed. Small bowel resection was avoided. The @entity1 was discharged 10   days after the operation and a healthy @entity1 was born 4   weeks later.
