Journal of

Case Reports and Images in Obstetrics and Gynecology

 
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Case Report
 
Severe maternal morbidity after gastric banding: A case report
Michelle Ann Kominiarek
MD, MS, Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, Associate Professor, Northwestern University, Northwestern Memorial, Prentice Hospital, 250 East Superior Street, Suite 05-2175, Chicago, IL 60611.

Article ID: 100010Z08MK2016
doi:10.5348/Z08-2016-10-CR-3

Address correspondence to:
Michelle Ann Kominiarek
Department of Obstetrics and Gynecology
Division of Maternal-Fetal Medicine, Associate Professor, Northwestern University, Northwestern Memorial, Prentice Hospital,
250 East Superior Street, Suite 05-2175
Chicago, IL 60611

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How to cite this article:
Kominiarek MA. Severe maternal morbidity after gastric banding: A case report. J Case Rep Images Gynecol Obstet 2016;2:10–13.


Abstract
Introduction: Pregnancies occurring after bariatric surgery can experience surgical complications. This case report of severe maternal morbidity should prompt clinicians to have a heightened awareness of bariatric surgery complications, such as gastric band erosion, in pregnancy.
Case Report: A 30-year-old gravida 1 presented at 11 weeks with epigastric pain after a laparoscopic gastric banding procedure performed three years ago. Her pain improved after the gastric band was deflated under ultrasound guidance. She returned one week later with a severe headache and three syncopal episodes. Her hemoglobin was 3.2 g/dl for which she received blood transfusions during her ICU admission. An upper endoscopy showed that the gastric band had completely eroded through the gastric mucosa. A laparoscopy under general anesthesia without complications.
Conclusion: This case report of severe maternal morbidity should prompt clinicians to have a heightened awareness of bariatric surgery complications, such as gastric band erosion, in pregnancy.

Keywords: Bariatric surgery, Maternal morbidity, Gastric band, Obesity, Pregnancy


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Author Contributions
Michelle Ann Kominiarek – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Michelle Ann Kominiarek. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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