{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T17:03:30Z","timestamp":1789319010150,"version":"build-2803163510"},"reference-count":23,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Women's Health Reports"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Intussusception is a rare late complication of Roux-en-Y gastric bypass (RYGB), and it is exceptionally uncommon to occur during pregnancy. Its diagnosis is difficult due to the overlapping of symptoms from normal pregnancy and limited options for imaging modalities. This case is notable for presenting in early pregnancy with bowel perforation and being successfully managed with emergency laparoscopy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Presentation:<\/jats:title>\n                    <jats:p>A 36-year-old female patient at 15 weeks of gestation (gravida 2, para 1, and living 1) was admitted with sudden onset of severe abdominal pain, weakness, and one episode of vomiting. Her history included RYGB, cesarean delivery, and cholecystectomy. Vital signs and laboratory tests were normal. Ultrasound examination of the abdomen revealed a dilated, noncompressible bowel loop in the right lower quadrant, which raised suspicion of obstruction. Laparoscopy showed marked dilation at the jejunojejunal anastomosis, a small anterior bowel perforation, and retrograde intussusception approximately 20 centimeters distal to the anastomosis. The perforation was repaired, the intussusception was reduced, and bowel viability was confirmed. Recovery was uneventful, with no maternal or fetal complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>This case highlights that intussusception should be taken into consideration in pregnant patients who have undergone gastric bypass and now present with acute abdominal pain. Ultrasound can be a useful diagnostic tool when other imaging modalities are restricted. Early laparoscopic intervention is critical to prevent severe complications and support favorable maternal and fetal outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/26884844261487342","type":"journal-article","created":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T06:54:04Z","timestamp":1789109644000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Early-Pregnancy Intussusception with Perforation after Roux-en-Y Gastric Bypass: A Case Report"],"prefix":"10.1177","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6562-8876","authenticated-orcid":false,"given":"Sara","family":"Sadeghzadeh","sequence":"first","affiliation":[{"name":"Student Research Committee, Shahid Beheshti University of Medical Sciences, Tehran, Iran."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nafiseh","family":"Faghih","sequence":"additional","affiliation":[{"name":"Preventative Gynecology Research Center (PGRC), Shahid Beheshti University of Medical Sciences, Tehran, Iran."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amirreza","family":"Pouladi Rishehri","sequence":"additional","affiliation":[{"name":"Gastroenterology and Liver Research Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Azadeh","family":"Shabani","sequence":"additional","affiliation":[{"name":"Preventative Gynecology Research Center (PGRC), Shahid Beheshti University of Medical Sciences, Tehran, Iran."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,10]]},"reference":[{"key":"e_1_3_5_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2023.3211"},{"key":"e_1_3_5_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12893-022-01760-3"},{"issue":"8","key":"e_1_3_5_4_1","first-page":"Cd003641","article-title":"Surgery for weight loss in adults","volume":"2014","author":"Colquitt JL","year":"2014","unstructured":"3.Colquitt JL, , Pickett K, , Loveman E, et al. Surgery for weight loss in adults. 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Small bowel necrosis after acute intestinal intussusception at delivery in a pregnant woman post bariatric surgery: A case report. In: 25th European Congress on Obesity. Vienna Austria; 2018."},{"key":"e_1_3_5_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/jscr\/rjy094"},{"key":"e_1_3_5_19_1","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2018-226094"},{"issue":"6","key":"e_1_3_5_20_1","first-page":"379","article-title":"Intussusception in pregnancy after gastric bypass: A case report","volume":"116","author":"Mortelmans D","year":"2016","unstructured":"19.Mortelmans D, , Mannaerts D, , Van den Broeck S, et al. Intussusception in pregnancy after gastric bypass: A case report. Acta Chir Belg 2016;116(6):379\u2013382.","journal-title":"Acta Chir Belg"},{"key":"e_1_3_5_21_1","unstructured":"20.Beffa L Perna M De La Torre RA. Intussusception following laparoscopic Roux-en-Y gastric bypass. 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