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Jisu Lee,Tae Sun Ha,Jeonghwi Choi,Yeonhwa Kwon,Zisun Kim 대한외상중환자외과학회 2020 Journal of Acute Care Surgery Vol.10 No.3
Bariatric patients are at risk of diverse complications, such as bowel obstruction, internal hernia,and mesenteric thrombosis, which can result in massive small bowel resection with short bowelsyndrome (SBS) as a consequence. In this study a case of an internal hernia after childbirth in a36-year-old patient with a history of laparoscopic Roux-en-Y gastric bypass surgery is reported. An emergency laparotomy revealed an internal hernia in Petersen’s space with volvulus, causingextensive small bowel infarction and necrosis. SBS is a complicated multifaceted syndrome whichrequires a multidisciplinary approach, such as medical, nutritional, and pharmaceutical therapies,to optimize fluid and nutrient absorption over long-term monitoring and with revisions of thecare plan. To reduce the morbidity and mortality associated with an internal hernia and volvulus,clinicians must be acutely aware of a potential SBS diagnosis and not delay surgical exploration, evenif the vital signs, laboratory results, and imaging studies are normal.