Strangulated Diaphragmatic Hernia Following Roux-en-Y Gastric Bypass: Surgical Pitfalls and Lessons Learned.

ABSTRACT:

Introduction

With the rising number of MBS and their revisions, rare complications may start to increase as well. Iatrogenic diaphragmatic hernia following metabolic and bariatric surgery (MBS) is extremely rare but potentially fatal. Its recognition is often delayed due to vague clinical presentations.

Purpose

We report a case of strangulated diaphragmatic hernia after Roux-en-Y gastric bypass (RYGB) and gastro-gastric fistula dismantling, highlighting diagnostic and surgical pitfalls, and lessons for bariatric surgeons.

Methods

We describe the presentation, diagnostic work-up, and surgical management of a diaphragmatic hernia after RYGB.

Results

The patient had a smooth postoperative recovery but then developed pleural effusion requiring tapping. She had reco

SUBMITTER: Abdelsalam A 

PROVIDER: S-EPMC12722364 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature