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Diagnosis of Transmesocolic Internal Hernia as a Complication of Retrocolic Gastric Bypass: CT Imaging Criteria

¹ Department of Radiology, Baylor University Medical Center, 3500 Gaston Ave., Dallas, TX 75231.
² Department of Surgery, Baylor University Medical Center, Dallas, TX.

OBJECTIVE. The purpose of this study was to define the CT findings of surgically proven transmesocolic internal hernia after laparoscopic gastric bypass.

CONCLUSION. Use of four CT signs should give radiologists a high degree of accuracy and confidence in recognizing internal hernia in patients who have undergone gastric bypass surgery.

Keywords: abdominal imaging • CT • emergency radiology • gastrointestinal radiology • small bowel

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