Petersen’s Hernia as a Complication of Bariatric Surgery: A Case Report
Novelty in Biomedicine,
Vol. 9 No. 4 (2021),
12 November 2021
,
Page 215-217
https://doi.org/10.22037/nbm.v9i4.35503
Abstract
Background: Bowel obstruction due to Petersen hernia is a known but rare late complication of a R-Y surgery that can be a life threatening condition. Delayed intervention may result in a high morbidity and even mortality. The clinical findings are not specific, In this context, imaging exams have an important part in the early detection and surgery of this condition.Cases Report: We describe the case of a 46-year old man presenting with acute abdominal pain and a history of gastric bypass five years previously. Abdominal Ultrasound did not reveal any significant findings. Indeed, through the use of multi slice computed tomography with IV and oral contrast , diagnosis of internal hernia was made and confirmed by laparotomy.
Conclusion:Internal hernias are rare and difficult to diagnose, but they should be included in the differential diagnosis in intestinal obstruction cases and a history of abdominal surgery to reduce the high morbidity and mortality rates; surgical intervention shouldn’t be delayed.- Computed Tomography, Internal Hernia, Roux-en-Y, Gastric Bypass
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References
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