Abstract

BackgroundOne anastomosis gastric bypass- minigastric bypass (OAGB-MGB) is an emerging bariatric surgery that is being endorsed by surgeons worldwide. Internal herniation is a rare and dreaded complication after malabsorptive bariatric procedures, which necessitates early diagnosis and intervention.Case presentationWe describe a 29-year-old male with chylous ascites caused by an internal hernia 8 months following laparoscopic one anastomosis gastric bypass. An abdominal CT showed enlargement of lymph nodes at the mesentery, with a moderate amount of liquid in the abdomen and pelvis. An emergent exploratory laparoscopic surgery demonstrated an internal hernia at the Petersen’s space with a moderate quantity of chylous ascites. The patient made an uneventful recovery after surgery.ConclusionsInternal herniation can occur after OAGB-MGB and in extremely rare cases lead to chylous ascites. To our knowledge, this is the first reported case of chylous ascites following one anastomosis gastric bypass.

Highlights

  • One anastomosis gastric bypass- minigastric bypass (OAGB-MGB) is an emerging bariatric surgery that is being endorsed by surgeons worldwide

  • Internal herniation can occur after OAGB-MGB and in extremely rare cases lead to chylous ascites

  • One-anastomosis gastric bypass- minigastric bypass (OAGBMGB) is an emerging bariatric surgery technique currently endorsed by surgeons worldwide [1, 2]

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Summary

Conclusions

Internal herniation can occur after OAGB-MGB and in extremely rare cases lead to chylous ascites.

Background
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Discussion and conclusions

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