Petersen Hernia After Abdominoplasty: A Provocative Factor or a Coincidence?
| Autor: | Caixeiro L; Plastic and Reconstructive Surgery, Centro Hospitalar V.N.Gaia/Espinho, Vila Nova de Gaia, PRT., Varanda J; General Surgery, Centro Hospitalar V.N.Gaia/Espinho, Vila Nova de Gaia, PRT., Morais J; Plastic and Reconstructive Surgery, Hospital da Prelada, Porto, PRT., Ferreira A; General Surgery, Centro Hospitalar V.N.Gaia/Espinho, Vila Nova de Gaia, PRT., Rios L; Plastic and Reconstructive Surgery, Centro Hospitalar V.N.Gaia/Espinho, Vila Nova de Gaia, PRT. |
|---|---|
| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2023 Sep 11; Vol. 15 (9), pp. e45014. Date of Electronic Publication: 2023 Sep 11 (Print Publication: 2023). |
| DOI: | 10.7759/cureus.45014 |
| Abstrakt: | Abdominal contouring procedures are frequently performed following massive weight loss after a Roux-en-Y gastric bypass. This last procedure can be associated with late complications like the development of internal hernias (e.g., Petersen hernia). The purpose of this article is to present a case of Petersen hernia after complete abdominoplasty. A 42-year-old female presented to the emergency department with acute abdominal pain three days after undergoing a complete abdominoplasty following massive weight loss post laparoscopic gastric bypass (Roux-en-Y). The patient was diagnosed with a mechanical small bowel obstruction, likely due to an internal hernia (Petersen hernia) and underwent surgical correction. Gastric bypass surgery may be associated with small bowel obstruction from internal herniation. A sudden rise in abdominal pressure, as occurs with abdominoplasty with rectus plication and subsequent use of compression garments, may result in strangulation and intestinal ischemia. A high degree of suspicion of intra-abdominal complications after abdominoplasty is essential, particularly in the setting of post-bariatric surgery. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, Caixeiro et al.) |
| Databáze: | MEDLINE |
| Externí odkaz: |
|