Gastric remnant perforation in a gastric bypass patient secondary to splenic artery pseudoaneurysm: radiologic-surgical correlation

Abstract One of the more common effective surgical procedures performed today for obesity is the Roux-en-Y gastric bypass. Though effective, both early and late complications do occur. Gastric remnant hemorrhage after gastric bypass is an uncommon late complication, posing both diagnostic and therapeutic difficulties. We report a case of gastrointestinal bleed and gastric remnant rupture secondary to splenic artery pseudoaneurysm 14 years after initial bariatric surgery. Given altered surgical anatomy in gastric bypass procedures, diagnosis and treatment of the source of a gastrointestinal bleed in a Roux-en-Y gastric bypass patient may require a multimodality and multidisciplinary approach.