{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T17:18:22Z","timestamp":1789147102851,"version":"build-2803163510"},"reference-count":16,"publisher":"BMJ","issue":"1","license":[{"start":{"date-parts":[[2018,11,1]],"date-time":"2018-11-01T00:00:00Z","timestamp":1541030400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.bmj.com\/company\/legal-information\/terms-conditions\/legal-information\/tdm-licencepolicy"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2018,11,4]]},"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:p>The increasing demand and popularity of bariatric surgery are not only due to the ever-increasing obesity epidemic but to tackle obesity-related comorbidities like diabetes and hypertension. However, bariatric surgery is not free of complications. One rare complication is intussusception, jejuno-jejunal intussusception being the most common. Intussusception has been defined both in pregnant and in non-pregnant women as well as men. We describe the case of a 40-year-old woman in the first trimester of pregnancy came to the hospital with worsening abdominal pain, was found to have intussusception of small bowel involving the jejunum, along with ischaemic perforation and necrosis of the fundus of the stomach. Postsurgery, the patient had a complete recovery and eventually, she successfully delivered an intact, viable fetus.<\/jats:p>","DOI":"10.1136\/bcr-2018-226094","type":"journal-article","created":{"date-parts":[[2018,12,18]],"date-time":"2018-12-18T17:19:47Z","timestamp":1545153587000},"page":"e226094","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["A near-fatal case of intussusception and ischaemic perforation of stomach in first-trimester pregnancy: eight years after laparoscopic Roux-en-Y gastric bypass"],"prefix":"10.1136","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5211-1285","authenticated-orcid":false,"given":"Rajarshi","family":"Bhadra","sequence":"first","affiliation":[{"name":"Internal Medicine, St. Vincent Charity Medical Center, Cleveland, Ohio, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meyappan","family":"Somasundaram","sequence":"additional","affiliation":[{"name":"Internal Medicine, St. Vincent Charity Medical Center, Cleveland, Ohio, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael M","family":"Nowak","sequence":"additional","affiliation":[{"name":"St. Vincent Charity Medical Center, The Center for Bariatric Surgery, Cleveland, Ohio, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keyvan","family":"Ravakhah","sequence":"additional","affiliation":[{"name":"Internal Medicine, St. Vincent Charity Medical Center, Cleveland, Ohio, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2018,11,28]]},"reference":[{"key":"2025082803352424000_11.1.e226094.1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.294.15.1909"},{"key":"2025082803352424000_11.1.e226094.2","doi-asserted-by":"publisher","DOI":"10.4103\/0972-9941.110969"},{"key":"2025082803352424000_11.1.e226094.3","doi-asserted-by":"crossref","first-page":"rjx189","DOI":"10.1093\/jscr\/rjx189","article-title":"Intussusception as a complication of bariatric surgery in pregnant patients: report of one case and revision of the literature","volume":"2017","author":"Boccalatte","year":"2017","journal-title":"J Surg Case Rep"},{"key":"2025082803352424000_11.1.e226094.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.soard.2008.09.008"},{"key":"2025082803352424000_11.1.e226094.5","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1016\/j.soard.2007.09.011","article-title":"Intussusception after laparoscopic Roux-en-Y gastric bypass","volume":"4","author":"Al-Sabah","year":"2008","journal-title":"Surg Obes Relat Dis"},{"key":"2025082803352424000_11.1.e226094.6","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1016\/j.soard.2007.12.004","article-title":"Retrograde (reverse) jejunal intussusception might not be such a rare problem: a single group\u2019s experience of 23 cases","volume":"4","author":"Simper","year":"2008","journal-title":"Surg Obes Relat Dis"},{"key":"2025082803352424000_11.1.e226094.7","doi-asserted-by":"crossref","first-page":"738","DOI":"10.1007\/BF02560293","article-title":"A unique late mechanical complication of jejunoileal bypass","volume":"28","author":"Nelson","year":"1985","journal-title":"Dis Colon Rectum"},{"key":"2025082803352424000_11.1.e226094.8","first-page":"434","article-title":"Intussusception of the by-passed segment after jejunoileal by-pass for obesity. 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