# Hemobezoar, a rare cause of intestinal obstruction after mini gastric bypass/one anastomosis gastric bypass: case report

**Authors:** Jaime Ponce De Leon, Mauricio Fabian Palacios, Alex Paul Guachilema Ribadeneira, David Gambino, Felipe Ortiz

PMC · DOI: 10.1093/jscr/rjaf610 · Journal of Surgical Case Reports · 2025-08-12

## TL;DR

This case report describes a rare instance of intestinal blockage caused by a blood clot after a specific type of gastric bypass surgery.

## Contribution

The paper presents a rare clinical case of hemobezoar following mini gastric bypass surgery.

## Key findings

- Hemobezoar can cause intestinal obstruction after mini gastric bypass surgery.
- Intraoperative endoscopy helps identify the cause of the obstruction.
- Prompt surgical treatment is necessary to avoid severe complications.

## Abstract

Hemobezoar is a rare cause of intestinal obstruction after mini gastric bypass/one anastomosis gastric bypass. Clot formation is often caused by bleeding in the anastomotic staple line. Symptoms include abdominal pain, vomiting, and abdominal distension. Surgical treatment should be performed promptly to prevent serious complications, such as anastomotic leaks, intestinal perforation, and death. Intraoperative endoscopy is useful for examining intraluminal mucosa and identifying the cause of the obstruction. This report describes a case of hemobezoar in a male patient. Few cases of hemobezoar have been reported in the literature.

## Full-text entities

- **Diseases:** abdominal pain (MESH:D015746), abdominal distension (MESH:D000007), anastomotic leaks (MESH:D057868), bleeding (MESH:D006470), death (MESH:D003643), intestinal obstruction (MESH:D007415), intestinal perforation (MESH:D007416), vomiting (MESH:D014839)
- **Chemicals:** Hemobezoar (-)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

7 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12343026/full.md

## References

7 references — full list in the complete paper: https://tomesphere.com/paper/PMC12343026/full.md

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Source: https://tomesphere.com/paper/PMC12343026