{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T02:20:30Z","timestamp":1768011630676,"version":"3.49.0"},"reference-count":8,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,5,18]]},"abstract":"<jats:p>We report a case of chronic infection caused by<jats:italic>Salmonella<\/jats:italic>and cured by a laparoscopic cholecystectomy after Roux-en-Y gastric bypass (RYGB) surgery for obesity. This patient presented with a 2-year history of chronic abdominal pain, loose stools and excessive weight loss. Her stool and urine cultures were positive for<jats:italic>Salmonella<\/jats:italic>. Despite multiple courses of antibiotics, she remained positive.<\/jats:p><jats:p>After undergoing a laparoscopic cholecystectomy, the patient became asymptomatic and stools remained negative. In chronic carriers for<jats:italic>Salmonella<\/jats:italic>, the gall bladder is the common reservoir for the bacteria and removing it is usually curative.<\/jats:p><jats:p>The possibility that the source of the may be in the biliary limb of her bariatric procedure and not in the gall bladder remained a concern.<\/jats:p><jats:p>In patients who have had a RYGB, cholecystectomy is an effective treatment.<\/jats:p><jats:p>All patients presenting with abdominal symptoms following RYGB should have stool and urine cultures taken as part of their work up.<\/jats:p>","DOI":"10.1136\/bcr-2017-219395","type":"journal-article","created":{"date-parts":[[2017,6,8]],"date-time":"2017-06-08T14:55:19Z","timestamp":1496933719000},"page":"bcr-2017-219395","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["A case of a chronic salmonella infection following Roux-en-Y gastric bypass surgery, treated successfully by a laparoscopic cholecystectomy"],"prefix":"10.1136","volume":"2017","author":[{"given":"Zohaib","family":"Siddiqui","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zain Ahmed","family":"Siddiqui","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fahd","family":"Husain","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Midhat","family":"Siddiqui","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,6,8]]},"reference":[{"key":"2025042711553557000_2017.jun08_1.bcr-2017-219395.1","doi-asserted-by":"publisher","DOI":"10.1038\/nrmicro2490"},{"key":"2025042711553557000_2017.jun08_1.bcr-2017-219395.2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-7843.2005.pto960202.x"},{"key":"2025042711553557000_2017.jun08_1.bcr-2017-219395.3","first-page":"S10","article-title":"Proton pump inhibitor use and enteric infections","volume":"104 Suppl 2","author":"Dial","year":"2009","journal-title":"Am J Gastroenterol"},{"key":"2025042711553557000_2017.jun08_1.bcr-2017-219395.4","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1016\/j.soard.2007.05.008","article-title":"Emergency room visits after laparoscopic Roux-en-Y gastric bypass for morbid obesity","volume":"4","author":"Cho","year":"2008","journal-title":"Surg Obes Relat Dis"},{"key":"2025042711553557000_2017.jun08_1.bcr-2017-219395.5","doi-asserted-by":"crossref","first-page":"819","DOI":"10.1016\/j.amjsurg.2010.05.007","article-title":"Abdominal pain after gastric bypass: suspects and solutions","volume":"201","author":"Greenstein","year":"2011","journal-title":"Am J Surg"},{"key":"2025042711553557000_2017.jun08_1.bcr-2017-219395.6","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM195609202551203"},{"key":"2025042711553557000_2017.jun08_1.bcr-2017-219395.7","doi-asserted-by":"crossref","first-page":"587","DOI":"10.1016\/j.soard.2007.10.015","article-title":"Retrospective analysis of abdominal pain in postoperative laparoscopic Roux-en-Y gastric bypass patients: is a simple algorithm the answer?","volume":"4","author":"Agaba","year":"2008","journal-title":"Surg Obes Relat Dis"},{"key":"2025042711553557000_2017.jun08_1.bcr-2017-219395.8","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-012-0852-4"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2017-219395","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T18:55:43Z","timestamp":1745780143000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2017-219395"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,6,8]]},"references-count":8,"alternative-id":["10.1136\/bcr-2017-219395"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2017-219395","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,6,8]]}}}