A 49-year-old patient, who had undergone laparoscopic gastric bypass surgery 18 months earlier, came to the emergency room due to pain in the upper left quadrant. Computed tomography identified an adrenal-supradiaphragmatic “hourglass” collection (Fig. 1A). The contrast study did not demonstrate a leak or communication with the collection. Exploratory laparoscopy was indicated, which showed a paracardial diaphragmatic hernia that contained the incarcerated gastric remnant (Fig. 1B). Its reduction required conversion to laparotomy, partial gastrectomy and suture of the diaphragmatic defect. It should be noted that, during the initial surgery, a weakness was observed in the area of the crura of the diaphragm, with no associated hiatal hernia, which could be related to the etiology of this complication.
Please cite this article as: Gámez Córdoba ME, Cabañó Muñoz D, Rodríguez Cañete A, Moreno Ruiz FJ. Remanente gástrico incarcerado tras bypass gástrico laparoscópico. Cir Esp. 2017;95:168.
