Radiology insights into Petersen's hernia complication of post Roux-en-Y gastric bypass
Following gastrojejunostomy in Roux-en-Y gastric bypass (RYGB), the mesentery is susceptible to Petersen's hernia due to a mesenteric gap created between the alimentary limb, transverse mesocolon, and retroperitoneum. Although the Petersen's hernia is a rare complication, it has increased...
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Elsevier
2025-03-01
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Series: | Radiology Case Reports |
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Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043324013864 |
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author | Kennedy Wong Wasim Awal |
author_facet | Kennedy Wong Wasim Awal |
author_sort | Kennedy Wong |
collection | DOAJ |
description | Following gastrojejunostomy in Roux-en-Y gastric bypass (RYGB), the mesentery is susceptible to Petersen's hernia due to a mesenteric gap created between the alimentary limb, transverse mesocolon, and retroperitoneum. Although the Petersen's hernia is a rare complication, it has increased due to the widespread adoption of gastric bypass surgeries for weight management and gastric cancer resections. Computed tomography (CT) is commonly used to evaluate suspected cases.We present a case of a 36-year-old female who developed Petersen's hernia 3 weeks post RYGB. This report highlights key radiologic features, such as the whirl sign and mushroom-shaped mesentery in recognizing Petersen's hernia. Given the small sample sizes in current literature, this case contributes valuable evidence to aid clinicians in radiologically detecting Petersen's hernia. |
format | Article |
id | doaj-art-4303f20b69b54bc79d3b8c2951364608 |
institution | Kabale University |
issn | 1930-0433 |
language | English |
publishDate | 2025-03-01 |
publisher | Elsevier |
record_format | Article |
series | Radiology Case Reports |
spelling | doaj-art-4303f20b69b54bc79d3b8c29513646082025-01-18T05:04:09ZengElsevierRadiology Case Reports1930-04332025-03-0120316951698Radiology insights into Petersen's hernia complication of post Roux-en-Y gastric bypassKennedy Wong0Wasim Awal1Department of Medical Imaging, Gold Coast University Hospital, 1 Hospital Blvd, Southport, Queensland 4215, Australia; School of Medicine and Dentistry, Griffith University, 1 Parklands Dr, Southport, Queensland 4215, Australia; Corresponding author.Department of Medical Imaging, Gold Coast University Hospital, 1 Hospital Blvd, Southport, Queensland 4215, Australia; School of Medicine and Dentistry, Griffith University, 1 Parklands Dr, Southport, Queensland 4215, AustraliaFollowing gastrojejunostomy in Roux-en-Y gastric bypass (RYGB), the mesentery is susceptible to Petersen's hernia due to a mesenteric gap created between the alimentary limb, transverse mesocolon, and retroperitoneum. Although the Petersen's hernia is a rare complication, it has increased due to the widespread adoption of gastric bypass surgeries for weight management and gastric cancer resections. Computed tomography (CT) is commonly used to evaluate suspected cases.We present a case of a 36-year-old female who developed Petersen's hernia 3 weeks post RYGB. This report highlights key radiologic features, such as the whirl sign and mushroom-shaped mesentery in recognizing Petersen's hernia. Given the small sample sizes in current literature, this case contributes valuable evidence to aid clinicians in radiologically detecting Petersen's hernia.http://www.sciencedirect.com/science/article/pii/S1930043324013864Petersen's herniaInternal herniaRoux-en-Y gastric bypassWhirl sign |
spellingShingle | Kennedy Wong Wasim Awal Radiology insights into Petersen's hernia complication of post Roux-en-Y gastric bypass Radiology Case Reports Petersen's hernia Internal hernia Roux-en-Y gastric bypass Whirl sign |
title | Radiology insights into Petersen's hernia complication of post Roux-en-Y gastric bypass |
title_full | Radiology insights into Petersen's hernia complication of post Roux-en-Y gastric bypass |
title_fullStr | Radiology insights into Petersen's hernia complication of post Roux-en-Y gastric bypass |
title_full_unstemmed | Radiology insights into Petersen's hernia complication of post Roux-en-Y gastric bypass |
title_short | Radiology insights into Petersen's hernia complication of post Roux-en-Y gastric bypass |
title_sort | radiology insights into petersen s hernia complication of post roux en y gastric bypass |
topic | Petersen's hernia Internal hernia Roux-en-Y gastric bypass Whirl sign |
url | http://www.sciencedirect.com/science/article/pii/S1930043324013864 |
work_keys_str_mv | AT kennedywong radiologyinsightsintopetersensherniacomplicationofpostrouxenygastricbypass AT wasimawal radiologyinsightsintopetersensherniacomplicationofpostrouxenygastricbypass |