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. 2019 Feb 7;32(1):e1429.
doi: 10.1590/0102-672020180001e1429.

A SIMPLE METHOD FOR THE DIAGNOSIS OF PETERSEN'S HERNIA COMPROMISING THE BILIOPANCREATIC LIMB

[Article in English, Portuguese]
Carlos Alberto Perim  1 , Marcelo Arimatéia Esteves Guedes  1 , Marcus Flávio Carvalho E Carvalho  1 , Políbio Guedes Ferreira Lopes  1 , Romeo Lages Simões  1
Affiliations

A SIMPLE METHOD FOR THE DIAGNOSIS OF PETERSEN'S HERNIA COMPROMISING THE BILIOPANCREATIC LIMB

[Article in English, Portuguese]
Carlos Alberto Perim et al. Arq Bras Cir Dig. .
No abstract available

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Conflict of interest statement

Conflict of interest: none

Figures

FIGURE 1
FIGURE 1. Two clips attached to the biliopancreatic loop mesentery 10 cm from the duodenojejunal angle and to the left of the spine
FIGURE 2
FIGURE 2. Simple abdominal radiographic study revealing the two clips in expected normal position: to the left of the spine
FIGURE 3
FIGURE 3. Simple abdominal radiographic study showing the two clips on the right side of the spine. In this case, the diagnosis of Petersen hernia was confirmed in laparoscopy
FIGURE 4
FIGURE 4. Abdominal CT scan: clips in normal position, to the left of the spine in case of obstruction in the anastomosis, not Petersen’s hernia, which regressed with conservative treatment (control CT revealing contrast in the ascending colon).
FIGURE 5
FIGURE 5. Abdominal CT interpreted as normal. However, subsequent surgical review revealed clips to the right of the spine, signaling Petersen’s hernia
See this image and copyright information in PMC

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