Ectopic Variceal Bleeding due to Petersen Hernia: A Rare Cause of Recurrent Gastrointestinal Hemorrhage

Petersen hernia is a rare complication that can occur following gastrojejunostomy procedures such as Roux-En-Y gastric bypass surgery. Bowel obstruction, ischemia, and mesenteric vessel thrombosis are recognized complications that can result in significant patient morbidity or mortality. In this study, we describe a case of mesenteric vein stenosis due to a Petersen hernia in a 61-year-old woman, manifesting as recurrent gastrointestinal bleeding. This noncirrhotic, portal hypertensive, ectopic variceal bleeding secondary to chronic superior mesenteric vein stenosis secondary to a Petersen hernia is a unique cause of recurrent gastrointestinal bleeding.