Background: Laparoscopic Roux-en-Y gastric bypass (LRYGB) is a commonly performed bariatric surgery worldwide. However, one rare complication following LRYGB is the development of bezoars, which can lead to small bowel obstructions (SBO). We present a unique case of a patient who developed a gastric bezoar with subsequent migration to the biliopancreatic limb after One Anastomosis Gastric Bypass (OAGB) surgery.
Case Report: A 65-year-old female with a history of OAGB surgery presented with acute weight loss and abdominal pain. Imaging studies revealed a bezoar in the duodenal diverticulum causing obstruction in the small bowel. An urgent laparoscopic intervention was performed to remove the bezoar and alleviate the obstruction. The patient experienced post-operative complications, including gastrostomy drainage and subsequent biliobezoar migration. Additional surgeries were required to address these complications.
Conclusion: This case highlights the importance of recognizing and managing bezoars as a potential complication following bariatric surgery. Prompt diagnosis and appropriate surgical intervention are crucial to prevent complications and optimize patient outcomes.
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