Case Report
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Jan 27, 2025; 17(1): 97975
Published online Jan 27, 2025. doi: 10.4240/wjgs.v17.i1.97975
Petersen's hernia with chylous ascites following laparoscopic total gastrectomy and Roux-en-Y anastomosis: A case report and review of literature
Shi-Fu Hu, Yuan-Yuan Hao, Xiang-Yu Liu, Han-Bo Liu
Shi-Fu Hu, Xiang-Yu Liu, Han-Bo Liu, Department of General Surgery, Tianjin Xiqing Hospital, Tianjin 300100, China
Yuan-Yuan Hao, Department of Geriatrics, Tianjin Xiqing Hospital, Tianjin 300100, China
Co-first authors: Shi-Fu Hu and Yuan-Yuan Hao.
Author contributions: Hu SF and Hao YY, as co-first authors, were integral to the conceptual framework and practical execution of the study; Hu SF participated in manuscript drafting; Liu XY and Liu HB conducted the literature review; Hao YY was responsible for revising the manuscript's important intellectual content; All authors provided final approval for the version to be submitted.
Informed consent statement: Written informed consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read CARE Checklist (2016), and the manuscript was prepared and revised according to CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Han-Bo Liu, MD, Chief Doctor, Department of General Surgery, Tianjin Xiqing Hospital, No. 343 Xiqing Road, Tianjin 300100, China. lhb1236541@163.com
Received: June 14, 2024
Revised: October 27, 2024
Accepted: November 22, 2024
Published online: January 27, 2025
Processing time: 195 Days and 22 Hours
Core Tip

Core Tip: This report emphasizes the rare but critical occurrence of Petersen’s hernia complicated by chylous ascites following laparoscopic total gastrectomy and Roux-en-Y anastomosis. The report accentuates the importance of early diagnosis and prompt surgical intervention in managing this condition, significantly improving the outcomes in patients. The significance of recognizing non-specific clinical symptoms and utilization of imaging studies, particularly computed tomography scans, for accurate diagnosis, is underscored. Furthermore, the case and literature review emphasizes the need for heightened clinical vigilance and the development of effective preventive strategies to alleviate this potentially fatal postoperative complication risk.