Abstract
Small bowel obstruction after laparoscopic Roux-en-Y gastric bypass (LRYGB) can be attributed to internal hernias, adhesions, or jejunojejunostomy stricture [1,2]. An underlying etiology or acquired abnormal anatomy, such as previous abdominal surgery, the creation of the Roux limb-related mesenteric defect, or luminal stricture due to mechanical stapling, can complicate postoperative recovery and predispose to this intractable condition [1,2]. However, abdominal compartment syndrome (ACS), a rare abdominal pathologic finding, has never been reported to be associated with small bowel obstruction after bariatric surgery [1–5].
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