Schmerzen nach laparoskopischem Y-Roux-Bypass bei ausgeprägter Adipositas

Introduction: Abdominal actinomycosis is an uncommon disease caused by different Actinomyces species. Nevertheless it should be considered in the differential diagnosis of tumour-like abdominal masses. We report a case of abdominal actinomycosis following laparoscopic Roux-Y-gastric-bypass. Case presentation: A 33-year-old, morbidity obese woman (138kg, 171cm, BMI 47.0kg/m2) underwent a laparoscopic Roux-Y-gastric-bypass in November 2004. There were no complications and the perioperative course was uneventful. The patient presented 18 months later with a history of recurrent intermitted pain of mild severity in…