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Hu SF, Hao YY, Liu XY, Liu HB. Petersen's hernia with chylous ascites following laparoscopic total gastrectomy and Roux-en-Y anastomosis: A case report and review of literature. World J Gastrointest Surg 2025; 17(1): 97975 [PMID: 39872774 DOI: 10.4240/wjgs.v17.i1.97975]
World J Gastrointest Surg. Jan 27, 2025; 17(1): 97975 Published online Jan 27, 2025. doi: 10.4240/wjgs.v17.i1.97975
Petersen's hernia with chylous ascites following laparoscopic total gastrectomy and Roux-en-Y anastomosis: A case report and review of literature
Shi-Fu Hu, Yuan-Yuan Hao, Xiang-Yu Liu, Han-Bo Liu
Shi-Fu Hu, Xiang-Yu Liu, Han-Bo Liu, Department of General Surgery, Tianjin Xiqing Hospital, Tianjin 300100, China
Yuan-Yuan Hao, Department of Geriatrics, Tianjin Xiqing Hospital, Tianjin 300100, China
Co-first authors: Shi-Fu Hu and Yuan-Yuan Hao.
Author contributions: Hu SF and Hao YY, as co-first authors, were integral to the conceptual framework and practical execution of the study; Hu SF participated in manuscript drafting; Liu XY and Liu HB conducted the literature review; Hao YY was responsible for revising the manuscript's important intellectual content; All authors provided final approval for the version to be submitted.
Informed consent statement: Written informed consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read CARE Checklist (2016), and the manuscript was prepared and revised according to CARE Checklist (2016).
Corresponding author: Han-Bo Liu, MD, Chief Doctor, Department of General Surgery, Tianjin Xiqing Hospital, No. 343 Xiqing Road, Tianjin 300100, China. lhb1236541@163.com
Received: June 14, 2024 Revised: October 27, 2024 Accepted: November 22, 2024 Published online: January 27, 2025 Processing time: 195 Days and 22 Hours
Core Tip
Core Tip: This report emphasizes the rare but critical occurrence of Petersen’s hernia complicated by chylous ascites following laparoscopic total gastrectomy and Roux-en-Y anastomosis. The report accentuates the importance of early diagnosis and prompt surgical intervention in managing this condition, significantly improving the outcomes in patients. The significance of recognizing non-specific clinical symptoms and utilization of imaging studies, particularly computed tomography scans, for accurate diagnosis, is underscored. Furthermore, the case and literature review emphasizes the need for heightened clinical vigilance and the development of effective preventive strategies to alleviate this potentially fatal postoperative complication risk.
