JSLS Journal of the Society of Laparoscopic & Robotic Surgeons · 2012 · 24 citations · 8 references
Diagnosing an internal herniation through Petersen's space is difficult due to the nonspecific clinical presentation. The interpretation of the CT scan poses another diagnostic challenge. This sign is present in 74% of the cases with this herniation. A missed diagnosis of internal herniation may cause potentially serious complications. A patient with a gastric bypass who experiences intermittent abdominal complaints should undergo laparoscopy to rule out internal herniation.
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Internal hernias after laparoscopic Roux-en-Y gastric bypass
Ernesto Garza, Joseph A. Kuhn, David Arnold et al. · The American Journal of Surgery · 2004 · 184 citations