Laparoscopic nissen fundoplication complicated by late gastroesophageal herniation and intrathoracic perforation: A case report with review of the literature

Ugo Boggi, Rosario Bellini, Andrea Pietrabissa, Franco Mosca

Research output: Contribution to journalArticle

Abstract

We report the case of a 38-year, old man who, 2 weeks after a laparoscopic Nissen fundoplication, was referred to our unit because of acute wrap herniation and intrathoracic gastric perforation. Although both of these complications have already been described, this is the first case in which they have occurred simultaneously and not as an immediate consequence of the operation. Intraoperative findings suggested that diaphragmatic crura had not been reapproximated and that the gastric wrap had not been fixed to them. This observation and the fact that immediately after hospital discharge the patient had sustained intense physical efforts can explain acute wrap herniation. Placement of full-thickness sutures may account for gastric perforation. These pathogenetic determinants and their preventive measures are discussed in the light of a review of the literature.

Original languageEnglish
Pages (from-to)57-59
Number of pages3
JournalSurgical Laparoscopy and Endoscopy
Volume9
Issue number1
DOIs
Publication statusPublished - 1999

Keywords

  • Intrathoracic perforation
  • Laparoscopic Nissen fundoplication
  • Wrap herniation

ASJC Scopus subject areas

  • Surgery

Fingerprint Dive into the research topics of 'Laparoscopic nissen fundoplication complicated by late gastroesophageal herniation and intrathoracic perforation: A case report with review of the literature'. Together they form a unique fingerprint.

  • Cite this