Early intrathoracic herniation and rupture of the stomach after laparoscopic Nissen fundoplication

Sezgin Karasu; Arif Osman Tokat; Mustafa Kemal Urhan; Recep Pekcici

doi:10.5606/tgkdc.dergisi.2013.5677

Sezgin Karasu¹, Arif Osman Tokat¹, Mustafa Kemal Urhan², Recep Pekcici²

¹Department of Thoracic Surgery, Ankara Training and Research Hospital, Ankara, Turkey
²Department of General Surgery, Ankara Training and Research Hospital, Ankara, Turkey

DOI : 10.5606/tgkdc.dergisi.2013.5677

Although intrathoracic gastric herniation of a fundoplication wrap is a well-known complication of laparoscopic Nissen fundoplication, perforation is quite rare. In this article, we report a 30-year-old male case who underwent a laparoscopic Nissen fundoplication complicating an intrathoracic gastric herniation and perforation of the fundoplication wrap. He was admitted to the emergency department with severe vomiting, fever, nausea and chest pain at postoperative fifth day. Radiological and endoscopic examination revealed intrathoracic wrap herniation and rupture of the stomach. The perforation was primarily repaired and the stomach was placed back to the abdominal cavity through left thoracophrenotomy.

Keywords : Herniation; Nissen fundoplication; perforation

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