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Case Reports
. 2020;88(6):772-775.
doi: 10.24875/CIRU.20000905.

Hernia del espacio de Petersen en paciente intervenido de bypass gástrico

Pedro López-Morales  1 , Francisco M González-Valverde  1   2 , Antonio Albarracín-Marín-Blazquez  3
Affiliations
Free article
Case Reports

Hernia del espacio de Petersen en paciente intervenido de bypass gástrico

Pedro López-Morales et al. Cir Cir. 2020.
Free article

Abstract
in English, Spanish

Petersen's space hernia is the most frequent location of internal hernia after a laparoscopic gastric bypass. The diagnosis or a high suspicion of internal herniation are indications for urgent surgery. We present the case of a patient who required an exploratory laparoscopy. He had a computed tomography compatible with internal herniation. We found a Petersen's space hernia and a jejunojenustomy defect. We reduced the protruded loops and we closed both mesenteric defects. The closure of mesenteric defects in primary surgery is a controversial matter. Overall, it is recommended to close them.

Las hernias del espacio de Petersen son la localización más frecuente de las hernias internas tras un bypass gástrico laparoscópico. Su diagnóstico, e incluso su sospecha, son indicación de cirugía urgente. Presentamos el caso de un paciente que requirió una laparotomía exploradora en la que se halló una hernia del espacio de Petersen tras presentar en la tomografía computarizada el signo del «remolino». Se realizó la reducción de las asas intestinales herniadas junto al cierre del defecto mesentérico de dicho espacio. El cierre de los defectos mesentéricos en la cirugía primaria continúa generando controversia, pero como norma general se recomienda su cierre.

Keywords: Bariatric surgery; Bypass gástrico laparoscópico; Cirugía bariátrica; Hernia del espacio de Petersen; Hernia interna; Internal hernia; Laparoscopic gastric bypass; Petersen’s space hernia.

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