Acute gastric ulcer perforation in a 35 weeksʹ nulliparous patient with gastric banding

We present a case of a primiparous patient at 35 weeksʹ gestation who had had laparoscopic gastric banding, and who presented to labor and delivery with protracted vomiting followed by an acute abdomen and fetal distress. An emergency surgery revealed acute gastric ulcer perforation. This complication, although rare, should be considered.