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Case Report
Cecal volvulus, a rare and late complication of a laparoscopic adjustable gastric band
1 Northern Health, 185 Cooper Street, Epping, Victoria 3076, Australia
2 Division of Surgery, Anaesthesia, and Procedural Medicine, Austin Health, 145 Studley Road, Heidelberg, Victoria 3084, Australia
3 Central Gippsland Health, 155 Guthridge Parade, Sale, Victoria 3850, Australia
Address correspondence to:
Amar Lakhani
Austin Health, 145 Studley Road, Heidelberg, Victoria 3084,
Australia
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Article ID: 100113Z12AL2022
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How to cite this article
Lakhani A, Fung C, Strauss P. Cecal volvulus, a rare and late complication of a laparoscopic adjustable gastric band. J Case Rep Images Surg 2022;8(2):47–50.ABSTRACT
Introduction: Laparoscopic adjustable gastric band (LAGB) surgery is one of the three most popular bariatric procedures worldwide due to its favorable risk benefit profile, reversibility, and low rates of morbidity and mortality. Recent studies have demonstrated a myriad of long-term complications including band slip, band erosion, intra-abdominal infection, port-site infection, port breakage, and pouch enlargement. All of which contribute to alarming rates of revision, adjustment, and removal of LAGB.
Case Report: We describe a novel case of a 68-year-old female presenting to the Emergency Department with a one-day history of abdominal pain, obstipation, loss of appetite, nausea and vomiting. A computed tomography (CT) scan demonstrated a cecal volvulus. Subsequently an emergency right hemicolectomy was performed which identified a LAGB encircling the hepatic flexure.
Conclusion: Clinicians should hold a high index of suspicion and a low threshold for operating when treating patients with a bowel obstruction with a known history of a LAGB.
Keywords: Bariatric surgery, Bowel obstruction, Cecal volvulus, Hemicolectomy, Laparoscopic adjustable gastric band
SUPPORTING INFORMATION
Author Contributions
Amar Lakhani - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Casey Fung - Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Paul Strauss - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2022 Amar Lakhani et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
