Medical and Clinical Case Reports International | Volume 1, Issue 1 | Case Report | Open Access

A Novel Internal Hernia after Roux-En-Y Gastric Bypass: Case Report

Richdeep S. Gill*

Ting Li, Sunawer Aujla and Richdeep S. Gill Department of Surgery, University of Calgary, Alberta Obesity Centre, Canada

*Correspondence to: Richdeep S. Gill 

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This case report describes a 47-year-old female who presented with an acute small bowel obstruction due to an internal hernia through a novel anatomic space created by surgical material after a Roux-en-Y Gastric Bypass (RYGB). A novel internal hernia defect was created by an adhesive band found between a clip on the Jejunojejunostomy staple line and a nearby small bowel mesentery, which was then removed to relieve the obstruction. The importance of closing potential hernia sites during RYGB is highlighted by this case report, with studies showing a lower incidence of clinically significant internal herniation and small bowel obstruction when the JJ mesenteric defect and Petersen’s space are closed using an endoscopic stapler or non-absorbable suture. This case report emphasizes the need to consider atypical herniation when investigating acute small bowel obstruction in patients who have undergone RYGB.



Ting Li, Sunawer Aujla, Richdeep S Gill. A Novel Internal Hernia after Roux-En-Y Gastric Bypass: Case Report. Med Clin Case Rep Int. 2023;1(1):1-3