Title
Pregnancy as a risk factor for undertreatment after bariatric surgery
Author
Faculty/Department
Faculty of Medicine and Health Sciences
Publication type
article
Publication
London :BMJ Pub. Group ,
Subject
Human medicine
Source (journal)
BMJ case reports. - London, 2008, currens
Volume/pages
(2014) , p. 1-2
ISSN
1757-790X
Carrier
E
Target language
English (eng)
Full text (Publishers DOI)
Affiliation
University of Antwerp
Abstract
A pregnant woman presented at the emergency department with severe nausea and vomiting at 20 weeks of gestational age; she was known with gastric banding. Advanced imaging studies were avoided of fear to harm the fetus. The patient continued to vomit and at 23 weeks intrauterine fetal death was noted. The symptoms did not resolve after delivery and CT scan demonstrated slippage of the gastric band over the pylorus resulting in a high digestive obstruction as the cause of hyperemesis and finally resulting necrosis of the vasa brevia. The gastric band was laparoscopically removed along with the necrotic tissue. Avoidance of radiological and endoscopic investigations of fear to harm the pregnancy resulted in complications and possibly in fetal death.
Handle