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World J Gastroenterol. Nov 21, 2014; 20(43): 16349-16354
Published online Nov 21, 2014. doi: 10.3748/wjg.v20.i43.16349
Published online Nov 21, 2014. doi: 10.3748/wjg.v20.i43.16349
Intestinal infarction by internal hernia in Petersen’s space after laparoscopic gastric bypass
Massimiliano Fabozzi, Riccardo Brachet Contul, Paolo Millo, Rosaldo Allieta, General and Laparoscopic Surgery Department, “Umberto Parini” Aosta Valley Regional Hospital, 11100 Aosta, Italy
Author contributions: All authors contributed to the manuscript.
Correspondence to: Massimiliano Fabozzi, MD, PhD, General and Laparoscopic Surgery Department, “Umberto Parini” Aosta Valley Regional Hospital, Viale Ginevra 3, 11100 Aosta, Italy. maxfabozzi@yahoo.fr
Telephone: +39-165-543284 Fax: +39-165-543635
Received: March 9, 2014
Revised: May 13, 2014
Accepted: July 15, 2014
Published online: November 21, 2014
Processing time: 256 Days and 3 Hours
Revised: May 13, 2014
Accepted: July 15, 2014
Published online: November 21, 2014
Processing time: 256 Days and 3 Hours
Core Tip
Core tip: We report a rare case of patients with a small bowel infarction due to Portomesenteric Vein thrombosis following an Internal Hernia through the Petersen’s space as a complication of Roux-en-Y laparoscopic gastric bypass and the different computed tomography physiological and pathological “uncommon signs” that must be searched and recognized. With the progressive diffusion of Bariatric Surgery, it is very important that all digestive surgeons and emergency physicians have knowledge of these rare but serious complication caused by internal hernia because these patients could be also hospitalized in urgency in whatever Surgery Unit that doesn’t commonly deal with obesity surgery.