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Erschienen in:
31.07.2019 | GI Image
Obstructive Jaundice Caused by a Strangulated Petersen’s Hernia
Erschienen in: Journal of Gastrointestinal Surgery | Ausgabe 3/2020
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A 73-year-old lady was admitted with vomiting, abdominal pain, distension and absolute constipation of 5 days duration. The patient had previously undergone a laparoscopic Roux-en-Y gastric bypass for obesity. A CT scan was performed which demonstrated adhesional small bowel obstruction with a visible transition point and massive dilatation of the neo-stomach, duodenum and proximal jejunum (Fig. 1). In view of the CT findings, she was initially managed conservatively with naso-enteral aspiration and intravenous fluid replacement. On admission, her LFT’s were noted to be mildly deranged (bilirubin 21, alanine transferase 99, alanine phosphatase 124) and continued to deteriorate rapidly within 48 h (bilirubin 281, alanine transferase 252, alanine phosphatase 924).
Fig. 1
Coronal image from the CT scan demonstrating small bowel obstruction (red arrow) and dilatation of the neo-stomach (blue arrow)
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