Michael A Shi, Conrad J Fernandes, Christy Y Chai, And Ned Snyder Lll
{"title":"Ectopic Variceal Bleeding due to Petersen Hernia: A Rare Cause of Recurrent Gastrointestinal Hemorrhage.","authors":"Michael A Shi, Conrad J Fernandes, Christy Y Chai, And Ned Snyder Lll","doi":"10.14309/crj.0000000000001760","DOIUrl":null,"url":null,"abstract":"<p><p>Petersen hernia is a rare complication that can occur following gastrojejunostomy procedures such as Roux-En-Y gastric bypass surgery. Bowel obstruction, ischemia, and mesenteric vessel thrombosis are recognized complications that can result in significant patient morbidity or mortality. In this study, we describe a case of mesenteric vein stenosis due to a Petersen hernia in a 61-year-old woman, manifesting as recurrent gastrointestinal bleeding. This noncirrhotic, portal hypertensive, ectopic variceal bleeding secondary to chronic superior mesenteric vein stenosis secondary to a Petersen hernia is a unique cause of recurrent gastrointestinal bleeding.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 7","pages":"e01760"},"PeriodicalIF":0.6000,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12278894/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"ACG Case Reports Journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.14309/crj.0000000000001760","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/7/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"GASTROENTEROLOGY & HEPATOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Petersen hernia is a rare complication that can occur following gastrojejunostomy procedures such as Roux-En-Y gastric bypass surgery. Bowel obstruction, ischemia, and mesenteric vessel thrombosis are recognized complications that can result in significant patient morbidity or mortality. In this study, we describe a case of mesenteric vein stenosis due to a Petersen hernia in a 61-year-old woman, manifesting as recurrent gastrointestinal bleeding. This noncirrhotic, portal hypertensive, ectopic variceal bleeding secondary to chronic superior mesenteric vein stenosis secondary to a Petersen hernia is a unique cause of recurrent gastrointestinal bleeding.
期刊介绍:
ACG Case Reports Journal is a peer-reviewed, open-access publication that provides GI and hepatology fellows, private practice clinicians, and other healthcare providers an opportunity to share interesting case reports with their peers and with leaders in the field. ACG Case Reports Journal publishes case reports, images, videos and letters to the editor in all topics of gastroenterology and hepatology, including: Biliary Colon Endoscopy Esophagus Functional Bowel Disorders Inflammatory Bowel Disease Liver Nutrition and Obesity Pancreas Pathology Pediatric Small Bowel Stomach.