Abstract
Roux-en-Y gastric bypass (RYGBP) is an increasingly used procedure when treating morbid obesity. Due to the extensive gastrointestinal rearrangement, diagnostic evaluation of patients with gastric bypass and acute abdominal pain can be difficult. We present a case of a perforated duodenal ulcer in a RYGBP operated patient, where free abdominal fluid, but hardly any pneumoperitoneum was seen on a computed tomography. Free intraperitoneal fluid is an important finding and should give suspicion of the need for emergency surgery in RYGBP operated patients with abdominal pain.
MeSH terms
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Abdominal Pain / etiology
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Adult
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Ascitic Fluid / diagnostic imaging
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Duodenal Ulcer / complications*
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Gastric Bypass / adverse effects*
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Humans
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Male
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Obesity, Morbid / surgery
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Peptic Ulcer Perforation / complications
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Peptic Ulcer Perforation / diagnosis*
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Peptic Ulcer Perforation / diagnostic imaging
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Peptic Ulcer Perforation / drug therapy
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Pneumoperitoneum / diagnostic imaging
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Pneumoperitoneum / etiology
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Postoperative Complications / diagnosis*
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Postoperative Complications / diagnostic imaging
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Postoperative Complications / drug therapy
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Tomography, X-Ray Computed