{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T10:55:40Z","timestamp":1761562540167,"version":"3.44.0"},"reference-count":10,"publisher":"BMJ","issue":"8","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,8,7]]},"published-print":{"date-parts":[[2019,8]]},"abstract":"<jats:p>Pregnant women who previously had bariatric surgery may develop acute abdominal pain during pregnancy. Two patients, 38-year-old twin primigravida (gestational age of 24+6 weeks) and a 26-year-old woman (gestational age of 24+0 weeks), both of whom had laparoscopic gastric bypass surgery previously, developed abdominal pain. The patients both had diffuse abdominal pain in combination with normal blood tests and imaging. Patient B had undergone laparoscopy at another centre after 5\u2009weeks of gestation for internal herniation. After referral to our multidisciplinary bariatric\u2013obstetric\u2013neonatal (MD-BON) team, diagnostic laparoscopy was advised as internal herniation was deemed possible. In both patients, internal herniation was indeed found in Petersen\u2019s space and jejunal mesenteric defect, which was closed using laparoscopic surgery. Both women delivered healthy offspring afterwards. The presence of an MD-BON team allows for an increased awareness of potential long-term complications associated with earlier bariatric surgery in pregnancy.<\/jats:p>","DOI":"10.1136\/bcr-2018-228962","type":"journal-article","created":{"date-parts":[[2019,8,22]],"date-time":"2019-08-22T05:17:07Z","timestamp":1566451027000},"page":"e228962","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":11,"title":["Pregnant patient with acute abdominal pain and previous bariatric surgery"],"prefix":"10.1136","volume":"12","author":[{"given":"Wouter KG","family":"Leclercq","sequence":"first","affiliation":[{"name":"Surgery, M\u00e1xima Medical Center, Eindhoven and Veldhoven, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martine","family":"Uittenbogaart","sequence":"additional","affiliation":[{"name":"Surgery, M\u00e1xima Medical Center, Eindhoven and Veldhoven, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hendrik J","family":"Niemarkt","sequence":"additional","affiliation":[{"name":"Neonatology, M\u00e1xima Medical Center, Eindhoven and Veldhoven, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Judith OEH","family":"van Laar","sequence":"additional","affiliation":[{"name":"Gynaecology, M\u00e1xima Medical Center, Eindhoven and Veldhoven, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,8,21]]},"reference":[{"key":"2025082711305425000_12.8.e228962.1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000001429"},{"key":"2025082711305425000_12.8.e228962.2","first-page":"CD003641","article-title":"Surgery for weight loss in adults","volume":"8","author":"Colquitt","year":"2014","journal-title":"Cochrane Database Systc Rev"},{"key":"2025082711305425000_12.8.e228962.3","first-page":"D1249","article-title":"[Bariatric surgery: who, when and where?; an overview for the referring physician]","volume":"161","author":"Boerlage","year":"2017","journal-title":"Ned Tijdschr Geneeskd"},{"key":"2025082711305425000_12.8.e228962.4","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2011\/501939","article-title":"Pregnancy after bariatric surgery: a review","volume":"2011","author":"Hezelgrave","year":"2011","journal-title":"J Obes"},{"key":"2025082711305425000_12.8.e228962.5","doi-asserted-by":"crossref","first-page":"1634","DOI":"10.1007\/s11695-014-1232-z","article-title":"Operative complications during pregnancy after gastric bypass--a register-based cohort study","volume":"24","author":"Andreasen","year":"2014","journal-title":"Obes Surg"},{"key":"2025082711305425000_12.8.e228962.6","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1001\/jamasurg.2016.3621","article-title":"Bariatric surgery in women of childbearing age, timing between an operation and birth, and associated perinatal complications","volume":"152","author":"Parent","year":"2017","journal-title":"JAMA Surg"},{"key":"2025082711305425000_12.8.e228962.7","doi-asserted-by":"crossref","first-page":"655.e1","DOI":"10.1016\/j.ajog.2015.11.017","article-title":"Impact of bariatric surgery on fetal growth restriction: experience of a perinatal and bariatric surgery center","volume":"214","author":"Chevrot","year":"2016","journal-title":"Am J Obstet Gynecol"},{"key":"2025082711305425000_12.8.e228962.8","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200408123510722"},{"key":"2025082711305425000_12.8.e228962.9","doi-asserted-by":"crossref","first-page":"538","DOI":"10.17992\/lbl.2016.12.110","article-title":"[Gallstone disease during pregnancy at Landspitali University Hospital 1990-2010]","volume":"102","author":"Kolbeinsson","year":"2016","journal-title":"Laeknabladid"},{"key":"2025082711305425000_12.8.e228962.10","doi-asserted-by":"publisher","DOI":"10.1136\/gutjnl-2013-305418"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-228962","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T18:31:04Z","timestamp":1756319464000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-228962"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,8]]},"references-count":10,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2019,8,21]]},"published-print":{"date-parts":[[2019,8]]}},"alternative-id":["10.1136\/bcr-2018-228962"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-228962","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2019,8]]}}}