Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jan 7, 2022; 10(1): 323-330
Published online Jan 7, 2022. doi: 10.12998/wjcc.v10.i1.323
Protein-losing enteropathy caused by a jejunal ulcer after an internal hernia in Petersen's space: A case report
Tomohiko Yasuda, Nobuyuki Sakurazawa, Komei Kuge, Jun Omori, Hiroki Arai, Daisuke Kakinuma, Masanori Watanabe, Hideyuki Suzuki, Katsuhiko Iwakiri, Hiroshi Yoshida
Tomohiko Yasuda, Komei Kuge, Hiroki Arai, Daisuke Kakinuma, Masanori Watanabe, Hideyuki Suzuki, Department of Gastrointestinal Surgery, Nippon Medical School Chiba Hokusoh Hospital, Chiba 270-1694, Japan
Nobuyuki Sakurazawa, Hiroshi Yoshida, Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Nippon Medical School, Tokyo 113-8603, Japan
Jun Omori, Katsuhiko Iwakiri, Department of Gastroenterology, Nippon Medical School, Tokyo 113-8603, Japan
Author contributions: Yasuda T wrote the original draft; Sakurazawa N, Kuge K, Omori J, Arai H, and Kakinuma D contributed to writing, review, and editing; Watanabe M, Suzuki H, and Iwakiri K contributed to the supervision.
Informed consent statement: Informed written consent was obtained from the patient for the publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the 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: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Tomohiko Yasuda, MD, PhD, Doctor, Department of Gastrointestinal Surgery, Nippon Medical School Chiba Hokusoh Hospital, 715, Kamagari, Inzai-shi, Chiba 270-1694, Japan. t-yasuda@nms.ac.jp
Received: June 21, 2021
Peer-review started: June 21, 2021
First decision: July 14, 2021
Revised: July 29, 2021
Accepted: November 29, 2021
Article in press: November 29, 2021
Published online: January 7, 2022
Processing time: 192 Days and 4.7 Hours
Core Tip

Core Tip: The incidence of internal hernias has recently increased in concordance with the increasing popularity of laparoscopic surgery. Protein-losing enteropathy (PLE) is a rare syndrome involving gastrointestinal protein loss. However, its relationship with internal Petersen’s hernias remains unknown. This report presents a rare case of PLE caused by a jejunum segmental ulcer following an internal hernia in Petersen’s space. PLE and extensive jejunal ulceration may follow the reduction of Petersen's hernia. Double-balloon enteroscopy revealed the etiology of PLE and enabled minimal bowel resection in this case.