Abstract
A 57 years-old man had undergone total gastrectomy with antecolic Roux-en-Y reconstruction for gastric cancer. On the 6th day post operation he had suffered acute abdominal pain and nausea. Abdominal computed tomography showed a severe dilation of afferent loop and the jejunum lifted for esophago-jejunostomy. We performed an emergency operation. According to the operating findings, we diagnosed an internal hernia after total gastrectomy through the space between the mesentery of the Roux-Limb and transverse mesocolon (Petersen’s defect). The herniated intestine was reduced and the hernia orifice was closed. Internal hernia after gastrectomy is rare. But the incidence of internal hernia is expected to increase from now on because a laparoscopic operation for gastric cancer have increased. We report a rare case of internal hernia after total gastrectomy with the relevant literature.
