Swirl sign in post-Roux-en-Y gastric bypass patients: a case series

Abstract

Bariatric surgeries have been increasing with the rising numbers of obese patients. Roux-en-Y is one of the safest and effective bariatric procedures worldwide. Internal hernia is one of laparoscopic Roux-en-Y gastric bypass complications. Its vague symptoms and late presentation may lead to adverse outcomes. Swirl sign in computed tomography scan has proven to be a particular and sensitive finding to detecting internal hernia in patients with an ambiguous presentation.

Keywords: internal hernia; intestinal obstruction; laparoscopic Roux-en-Y gastric bypass; swirl sign.