{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,5]],"date-time":"2022-04-05T04:00:48Z","timestamp":1649131248241},"reference-count":0,"publisher":"Akademiai Kiado Zrt.","issue":"3","license":[{"start":{"date-parts":[[2021,9,30]],"date-time":"2021-09-30T00:00:00Z","timestamp":1632960000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["MaSeb"],"published-print":{"date-parts":[[2021,9,30]]},"abstract":"\u00d6sszefoglal\u00f3.<\/jats:bold> 61 \u00e9ves n\u0151beteg anamn\u00e9zis\u00e9b\u0151l 3 \u00e9vvel kor\u00e1bbi, morbid\n obezit\u00e1s miatti bari\u00e1triai m\u0171t\u00e9t (Roux Y gastric bypass, m\u0171t\u00e9t el\u0151tti BMI 42,\n aktu\u00e1lis BMI 22), hysterectomia, hypertonia eml\u00edtend\u0151. N\u00e9gy napja tart\u00f3 diff\u00faz\n hasi f\u00e1jdalom, h\u00e1ny\u00e1s, h\u00e1nyinger, sz\u00e9kletkimarad\u00e1s miatt ker\u00fclt SBO \u00e9rint\u00e9s\u00e9vel\n seb\u00e9szeti oszt\u00e1lyunkra. Felv\u00e9telkor m\u00e9rs\u00e9kelt hasi distenzi\u00f3, diff\u00faz felhasi\n 3-5\/10 f\u00e1jdalom volt, defensus n\u00e9lk\u00fcl, NG szonda jelent\u0151s tartalmat nem hozott.\n Ileusra jellemz\u0151 auscult\u00e1ci\u00f3t, rectalis vizsg\u00e1lattal \u00fcres ampull\u00e1t tal\u00e1ltunk.\n \u00c1ll\u00f3 nat\u00edv hasi felv\u00e9telen jobb oldalon L II\u2013III. csigolya mellett kiss\u00e9 g\u00e1zos,\n nem t\u00e1gabb v\u00e9konyb\u00e9lkacs ker\u00fclt le\u00edr\u00e1sra, benne 2-3 cm-es n\u00edv\u00f3val. Hasi\n UH-vizsg\u00e1laton folyad\u00e9kkal telt, t\u00e1g, 30\u201335 mm \u00e1tm\u00e9r\u0151j\u0171 v\u00e9konybeleket \u00edrtak le.\n CT-vizsg\u00e1lat sor\u00e1n a duodenum, jejunum \u00e9s n\u00e9h\u00e1ny proximalis ileumkacs k\u00f3ros\n distensi\u00f3j\u00e1t igazolt\u00e1k, n\u00edv\u00f3kkal, innen aboralisan \u00f6sszeesett v\u00e9konybeleket.<\/jats:p>\n Tekintettel a kliniko-radiol\u00f3giai k\u00e9pre, urgens m\u0171t\u00e9t sor\u00e1n Hasson-technik\u00e1val\n laparoszk\u00f3pos inspekci\u00f3t v\u00e9gezt\u00fcnk, azonban a massz\u00edv ileus okozta t\u00e9rhi\u00e1ny\n miatt kp medi\u00e1n laparot\u00f3mi\u00e1ra konvert\u00e1ltunk. Az explor\u00e1ci\u00f3 sor\u00e1n a\n Petersen-herni\u00e1n \u00e1t a jobb hasf\u00e9lbe herni\u00e1l\u00f3dott aliment\u00e1ris, biliopancreatikus\n \u00e9s k\u00f6z\u00f6s v\u00e9konyb\u00e9lszakaszt \u00e9szlelt\u00fcnk a termin\u00e1lis ileum k\u00f6zep\u00e9ig. A b\u00e9l\n \u00e9letk\u00e9pesnek bizonyult. A Petersen-herni\u00e1n \u00e1t a kiz\u00e1r\u00f3dott szakaszt a bal hasf\u00e9l\n fel\u00e9 visszahelyezt\u00fck, majd a Petersen-herni\u00e1t nem felsz\u00edv\u00f3d\u00f3 fonallal a colon\n transversum \u00e9s az aliment\u00e1ris kacs mezent\u00e9riuma k\u00f6zt tovafut\u00f3 varrattal z\u00e1rtuk.\n A beteg az \u00f6t\u00f6dik postoperat\u00edv napon gy\u00f3gyultan t\u00e1vozott.<\/jats:p>\n Summary.<\/jats:bold> 61 years old female with previous surgical history of\n Roux-en-Y gastric bypass (3 years ago) and earlier hysterectomy admitted to our\n surgical department with clinical and radiological signs of small intestinal\n obstruction. Urgent intervention had been performed with following findings:\n Petersen herniation of alimentary tract including the \u2013 biliopancreatic tract\n and the small bowel extending to the midpart of the terminal ileum. Viability of\n herniated intestinal tract had been confirmed, and reposition of herniated parts\n through the Petersen hernia had been done. Closure with non-absorbable running\n suture of the gap between the transverse colon and the mesenteriun of the\n alimentary limb had been performed. Patient was fit for discharge on the fifth\n postoperative day.<\/jats:p>","DOI":"10.1556\/1046.74.2021.3.3","type":"journal-article","created":{"date-parts":[[2021,9,26]],"date-time":"2021-09-26T10:14:27Z","timestamp":1632651267000},"page":"71-74","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.1","source":"Crossref","is-referenced-by-count":0,"title":["Petersen-hernia, egy ritka s\u00e9rvt\u00edpus megjelen\u00e9se oszt\u00e1lyunkon"],"prefix":"10.1556","volume":"74","author":[{"given":"Kereszt\u00e9ly","family":"Merkel","sequence":"first","affiliation":[{"name":"1 Szent Imre K\u00f3rh\u00e1z, \u00c1ltal\u00e1nos Seb\u00e9szeti Profil, Budapest"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T\u00edmea","family":"Vass","sequence":"additional","affiliation":[{"name":"1 Szent Imre K\u00f3rh\u00e1z, \u00c1ltal\u00e1nos Seb\u00e9szeti Profil, Budapest"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gy\u00f6rgy","family":"Herczeg","sequence":"additional","affiliation":[{"name":"1 Szent Imre K\u00f3rh\u00e1z, \u00c1ltal\u00e1nos Seb\u00e9szeti Profil, Budapest"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P\u00e9ter","family":"\u00c1gh","sequence":"additional","affiliation":[{"name":"1 Szent Imre K\u00f3rh\u00e1z, \u00c1ltal\u00e1nos Seb\u00e9szeti Profil, Budapest"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mikl\u00f3s","family":"M\u00e1t\u00e9","sequence":"additional","affiliation":[{"name":"1 Szent Imre K\u00f3rh\u00e1z, \u00c1ltal\u00e1nos Seb\u00e9szeti Profil, Budapest"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","container-title":["Magyar Seb\u00e9szet (Hungarian Journal of Surgery)"],"original-title":[],"link":[{"URL":"https:\/\/akjournals.com\/view\/journals\/1046\/74\/3\/article-p71.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/akjournals.com\/downloadpdf\/journals\/1046\/74\/3\/article-p71.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,9,26]],"date-time":"2021-09-26T10:14:33Z","timestamp":1632651273000},"score":1,"resource":{"primary":{"URL":"https:\/\/akjournals.com\/view\/journals\/1046\/74\/3\/article-p71.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9,30]]},"references-count":0,"journal-issue":{"issue":"3"},"URL":"https:\/\/doi.org\/10.1556\/1046.74.2021.3.3","relation":{},"ISSN":["0025-0295","1789-4301"],"issn-type":[{"value":"0025-0295","type":"print"},{"value":"1789-4301","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,9,30]]}}}