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Case Reports in Obstetrics and Gynecology
Volume 2011 (2011), Article ID 415795, 3 pages
Case Report

Abdominal Pain after Gastric Bypass: Labor, Uterine Rupture, or Obstruction and Internal Hernia

1Department of Obstetrics, Gynecology & Reproductive Sciences, Yale School of Medicine, Yale University, 333 Cedar Street, P.O. Box 208063, New Haven, CT 06520-8063, USA
2Department of Surgery, Yale University School of Medicine, New Haven, CT 06510, USA

Received 12 September 2011; Accepted 17 October 2011

Academic Editor: T. Todros

Copyright © 2011 Sarah N. Cross et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Background. Although gastric bypass may reduce obesity-related complications of subsequent pregnancies, surgical complications requiring antenatal and postpartum interventions are not uncommon. Case. A 26-year-old G4P1112 status post-Roux-en-Y gastric bypass required multiple urgent antenatal evaluations due to frequent episodes of abdominal pain. At 35 + 4 weeks, she presented with severe abdominal pain; initial evaluation was negative for gastrointestinal pathology. The patient was found to be in preterm labor and underwent a repeat cesarean section. The postoperative course was complicated by bowel obstruction due to internal hernia resulting in an emergent laparotomy and a prolonged hospital course. Conclusion. As more reproductive-aged women opt for surgical treatment of obesity, it is essential that obstetricians recognize complications to be able to counsel and appropriately care for these patients.