Ravi Kapadia, MD, Erin Moran-Atkin, MD. Montefiore Medical Center
Our patient is a 72 year old female who underwent an open roux-y-gastric bypass nine years ago at an outside hospital in a retrocolic, antegastric fashion. She underwent a diagnostic laparoscopy for nausa/vomitting 1 year ago and had an internal hernia repaired with a questionable twist in her intestines. She presented to our institution with worsening abdominal pain, intractable nausea/vomitting with CT scan findings concerning for an internal hernia. Pt was taken to the operating room. It was noted there was a 180 degree twist of her roux limb which was attached to the transverse mesocolon. This was taken down, and a new gastrojejunostomy was fashioned in an antecolic/antegastric fashion.