Falciform hernia following gastric bypass surgery case report

Abstract

Introduction: Internal hernias are a possible complication following gastric bypass surgery. Falciform ligament hernias are a rare form of internal hernias which can be life threatening. Case Presentation: The case study describes a 59-year-old lady who presented with abdominal pain and bilous vomiting. She was found to have a falciform hernia following Roux-en-Y gastric by pass (RYGB). She underwent an emergency laparoscopy and division of the falciform ligament to release the bowel. She recovered and was discharged after 2 days. Conclusion: Given this occurrence, it is worth considering dividing the falciform ligament if any created defects or congenital defects are visualised during routine bariatric surgery. This will reduce the risk of falciform ligament herniation.