Journal of Metabolic and Bariatric Surgery

Indexed in /covered by CAS, KoreaScience & DOI/Crossref:eISSN 2508-5956   pISSN 2287-2930

Table. 2.

Table. 2.

Detailed of previous reported cases

 Case 1 Case 2 Case 3 Case 4 Case 5
Author et al.Hidalgo et al. [4]Hanson et al. [5]González-Chávez et al. [3]Zayan et al. [6]Cinnamond et al. [7]
Patient age & gender40-year-old male22-year-old female36-year-old female46-year-old female57-year-old female
Operation performedLRYGBLRYGBLRYGBOpen RYGBLRYGB,
Complication after surgeryNo complicationsUnspecifiedUnspecifiedUnspecifiedNo complications
Weight loss at presentationUnspecified90 IbUnspecifiedUnspecified120 Ib, 91% index weight loss
Symptoms at presentationMild abdominal pain, nauseaAcute on a year of chronic abdominal painAbdominal pain, nausea, malaise, sweating and paleness, bloating, constipation and obstipationAcute on chronic left upper abdominal pain, nausea without vomiting, obstipation and febrileConstant worsening lower abdominal pain and constipation
Interval between surgery and symptomsApproximately one yearUnspecifiedOne yearUnspecifiedOne and half years
Diagnostic method & resultsAbdominal CT scan with contrast showing free abdominal fluid and mesenteric adenitisAbdominal CT scan showing mesenteric free fluid and mesenteric swirlLaboratory showing leukocytosis, abdominal CT scan showing free fluid, signs of secondary intestinal occlusion and changes in mesenteric fatAbdominal CT scan with contrast showing free abdominal fluid and findings suggestive of either internal hernia or mesenteric volvulusAbdominal CT scan showing findings consistent with internal hernia and a large amount of peritoneal fluid
TreatmentElective diagnostic laparoscopy with herniation reduction, closure of mesenteric defect and ascites analysisEmergency exploration with 4 L ascites drainage and analysis, followed by a reoperation 7 days later with herniation reduction and mesenteric defect closureEmergency laparoscopy with herniation reduction, closure of mesenteric defect and ascites analysisDiagnostic laparoscopy with reduction of internal hernia, closure of mesenteric defect and analysis of peritoneal fluidDiagnostic laparoscopy with separation of adhesions, reduction of internal hernia closure of mesenteric defect and analysis of peritoneal fluid
Ascites fluid analysisHigh triglyceride content no evidence of bacteria or lymphocytesHigh triglyceride content (388 mg/dL),High triglyceride content (466 mg/dL), negative gram stainHigh triglyceride content (771 mg/dL), no evidence of bacteriaHigh triglyceride content (5259 mg/dL),
J Metab Bariatr Surg 2019;8:22-7 https://doi.org/10.17476/jmbs.2019.8.1.22
© 2019 J Metab Bariatr Surg