{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,28]],"date-time":"2025-04-28T04:02:06Z","timestamp":1745812926076,"version":"3.40.4"},"reference-count":15,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,3,3]]},"abstract":"<jats:p>Internal hernia postgastrectomy is an exceedingly rare complication especially in the laparoscopic cohort of patients. Different types of internal hernias have been described, of which, Petersen's and jejunojejunostomy mesenteric defect hernias are the most commonly encountered followed by oesophageal defect and transverse colon mesocolic defect hernias. As the early presentation is always non-specific, late diagnosis of internal hernia has significant implication on morbidity and mortality. Here, we present a rare case of a patient with previous laparoscopy-assisted total gastrectomy presented with features of impending bowel obstruction and bowel ischaemia secondary to dual incarcerated internal hernias. We also reviewed the literature focusing on clinical features of internal hernia, essential CT findings and preventive measures.<\/jats:p>","DOI":"10.1136\/bcr-2017-219290","type":"journal-article","created":{"date-parts":[[2017,4,3]],"date-time":"2017-04-03T17:48:04Z","timestamp":1491241684000},"page":"bcr2017219290","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Dual incarcerated internal hernias after laparoscopic total gastrectomy with Roux-en-Y reconstruction for gastric cancer"],"prefix":"10.1136","volume":"2017","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6272-4640","authenticated-orcid":false,"given":"Zi Qin","family":"Ng","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Willy","family":"Low","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pradeep","family":"Subramanian","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joel","family":"Stein","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,4,3]]},"reference":[{"key":"2025042705465585000_2017.apr03_2.bcr2017219290.1","doi-asserted-by":"crossref","first-page":"3400","DOI":"10.1007\/s00464-011-1739-5","article-title":"Internal hernia after laparoscopic gastric resection with antecolic Roux-en-Y reconstruction for gastric cancer","volume":"25","author":"Hosoya","year":"2011","journal-title":"Surg Endosc"},{"key":"2025042705465585000_2017.apr03_2.bcr2017219290.2","doi-asserted-by":"crossref","unstructured":"Kimura H , Ishikawa M , Nabae T , et al . Internal hernia after laparoscopic gastrectomy with Roux-en-Y reconstruction for gastric cancer. 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Post-operative diaphragmatic hernias","volume":"30","author":"Matthews","year":"2016","journal-title":"Surg Endosc"},{"key":"2025042705465585000_2017.apr03_2.bcr2017219290.11","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1186\/1755-7682-3-23","article-title":"Acute hiatal hernia: a late complication following gastrectomy","volume":"3","author":"Piciucchi","year":"2010","journal-title":"Int Arch Med"},{"key":"2025042705465585000_2017.apr03_2.bcr2017219290.12","doi-asserted-by":"crossref","first-page":"e71","DOI":"10.1308\/147870811X590333","article-title":"Internal hernia following total gastrectomy with Roux-en-Y reconstruction","volume":"93","author":"Larkin","year":"2011","journal-title":"Ann R Coll Surg Engl"},{"key":"2025042705465585000_2017.apr03_2.bcr2017219290.13","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1159\/000443633","article-title":"Hiatal hernia as a total gastrectomy complication","volume":"9","author":"Santos Bdo","year":"2016","journal-title":"Case Rep Oncol"},{"key":"2025042705465585000_2017.apr03_2.bcr2017219290.14","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1159\/000443268","article-title":"Intrathoracic hernia after total gastrectomy","volume":"10","author":"Tashiro","year":"2016","journal-title":"Case Rep Gastroenterol"},{"key":"2025042705465585000_2017.apr03_2.bcr2017219290.15","first-page":"234","article-title":"Hiatal herniation following total gastrectomy","volume":"108","author":"Gonzalo","year":"2016","journal-title":"Rev Esp Enferm Dig"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2017-219290","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T12:47:06Z","timestamp":1745758026000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2017-219290"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,4,3]]},"references-count":15,"alternative-id":["10.1136\/bcr-2017-219290"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2017-219290","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2017,4,3]]}}}