Perplexing findings during laparoscopic evaluation for tubal factor infertility resulting from a gastric leak after bariatric surgery: A case report

Alexandra M Poch; Michael Dougherty; Robert A Roman; Larisa Gavrilova-Jordan

doi:10.1016/j.crwh.2022.e00460

Perplexing findings during laparoscopic evaluation for tubal factor infertility resulting from a gastric leak after bariatric surgery: A case report

Case Rep Womens Health. 2022 Nov 24:36:e00460. doi: 10.1016/j.crwh.2022.e00460. eCollection 2022 Oct.

Authors

Alexandra M Poch¹, Michael Dougherty², Robert A Roman², Larisa Gavrilova-Jordan²

Affiliations

¹ Department of Obstetrics and Gynecology, Augusta University Medical Center, Augusta, GA, USA.
² Section of Reproductive, Endocrinology, Infertility and Genetics, Augusta University Medical Center, Augusta, GA, USA.

Abstract

Tubal factor is the primary type of female infertility, accounting for 25-35% of cases. Common causes include inflammation due to pelvic inflammatory disease, septic abortion, tubal surgery, and surgical adhesions. Bariatric surgery is becoming increasingly popular as rates of obesity rise, with over 256,000 surgeries performed in 2019. Half of these procedures were performed on women of reproductive age. This is the first reported case of a patient with tubal factor infertility as a result of a gastric leak from a remote sleeve gastrectomy that led to extensive abdominal and pelvic adhesions.

Keywords: Bariatric surgery; Gastric sleeve; Peritoneal nodules; Tubal factor infertility.

Publication types

Case Reports