Acute Chest Presentation following a Laparoscopic Nissen Fundoplication

We describe a case of an acute paraoesophageal hernia in the early post-operative period following a laparoscopic Nissen fundoplication. Patient developed intraoperative tension pneumothorax requiring an immediate chest drain and subsequently needed respiratory support of a continuous positive airwa...

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Bibliographic Details
Main Authors: Andrew Cai, Khurram Siddique, Michelle Hamer, Sanjoy Basu
Format: Article
Language:English
Published: Oxford University Press 2010-08-01
Series:Journal of Surgical Case Reports
Subjects:
Online Access:http://jscr.co.uk/2010/08/cardiothoracic-surgery/acute-chest-presentation-following-a-laparoscopic-nissen-fundoplication/
Description
Summary:We describe a case of an acute paraoesophageal hernia in the early post-operative period following a laparoscopic Nissen fundoplication. Patient developed intraoperative tension pneumothorax requiring an immediate chest drain and subsequently needed respiratory support of a continuous positive airway pressure (CPAP) ventilation. A short discussion of this rare but deleterious complication and the difficulty of making a prompt diagnosis are included as delayed revision surgery can be technically challenging with a poor outcome.
ISSN:2042-8812