Abstract

: Marginal ulcer formation remains a common complication of the one anastomosis gastric bypass procedure, the ulcer can further perforate and present as peritonitis and although this is uncommon, it is considered one of the life threatening sequela associated with this surgery, we report here 2 different cases of perforated marginal ulcers that presented months after the procedure with acute abdomen, and discuss the surgical management using the laparoscopic approach to repair the perforation.

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