A Case Series of Neglected Pregnancies at the Time of Bariatric Surgery

This study aimed to describe three neglected pregnancies at the time of bariatric surgery. These women had negative pregnancy tests before surgery and underwent single-anastomosis gastric bypass surgery in the Obesity Clinic of Rasoul-e-Akram Hospital affiliated with Iran University of Medical Sciences, Tehran City, Iran. The first case was a 38-year-old woman with a BMI of 47.1 kg/m2 suffering from nausea and vomiting one month after surgery whose medical treatment was unsuccessful. Her β-human Chorionic Gonadotrophin (βHCG) test was positive, and sonography revealed a 13W+6D fetus. The second case was a 30-year-old woman with a BMI of 46.2 kg/m2 suffering from uterus bleeding four months after surgery. The third case was a 32-year-old woman with a BMI of 44.6 kg/m2 suffering from resistant nausea and vomiting, epigastric pain, and delayed menses three months after surgery. These cases show the necessity of the βHCG test at the time of bariatric surgery in childbearing females. The three neglected cases in our clinic showed the necessity and importance of the preoperative pregnancy consultation and the βHCG test just before surgery.