Shifting from normal to abnormal: transformation of clinical presentation of post-laparoscopic Roux-en-Y gastric bypass surgery complications.

Bariatric surgery can lead to considerable weight loss in patients with morbid obesity who have failed to achieve or maintain weight loss with supervised programs. Laparoscopic Roux-en-Y gastric bypass (LRYGB) and laparoscopic adjustable gastric banding are common bariatric surgeries. The former results in better weight loss and a reduced number of failures compared with the latter, despite its significantly longer operative time and life-threatening complications (1). We present a case involving a 32-year-old woman with history of LRYGB who presented with intractable abdominal pain. The initial abdominal imaging study was unremarkable; however, subsequent imaging studies showed volvulus of the midgut requiring surgical intervention.