Herniation of the Anterior Wall of the Stomach into a Congenital Postdiaphragmatic Space: An Unusual Complication following Laparoscopic Nissen Fundoplication.

Autor: Eisawi A; Department of General Surgery, Queen Elizabeth Hospital, London SE18 4QH, UK., Al-Temimi A, Dirie M, Bukhari S, Siddiqui M
Jazyk: angličtina
Zdroj: Case reports in medicine [Case Rep Med] 2010; Vol. 2010, pp. 893017. Date of Electronic Publication: 2010 Nov 22.
DOI: 10.1155/2010/893017
Abstrakt: Postoperative herniation of the stomach into potential spaces is a rare but serious complication of Nissen fundoplication. We report a 55-year-old female who presented with persistent vomiting shortly following laparoscopic Nissen fundoplication. At laparotomy, the anterior wall of the stomach was noted to be herniating into a congenital space behind the diaphragm. Anterior gastropexy was performed following the reduction of the herniating gastric segment. A high index of suspicion followed by aggressive and timely intervention is necessary to diagnose and manage postoperative gastric herniation and reduce the subsequent morbidity and mortality.
Databáze: MEDLINE