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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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/
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author Andrew Cai
Khurram Siddique
Michelle Hamer
Sanjoy Basu
author_facet Andrew Cai
Khurram Siddique
Michelle Hamer
Sanjoy Basu
author_sort Andrew Cai
collection DOAJ
description 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.
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spelling doaj.art-64324ac3a1454f67a0557a27772d64152022-12-21T23:18:05ZengOxford University PressJournal of Surgical Case Reports2042-88122010-08-0165Acute Chest Presentation following a Laparoscopic Nissen FundoplicationAndrew CaiKhurram SiddiqueMichelle HamerSanjoy BasuWe 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.http://jscr.co.uk/2010/08/cardiothoracic-surgery/acute-chest-presentation-following-a-laparoscopic-nissen-fundoplication/laparoscopicnissenfundoplicationcomplicationherniaparaoesophageal
spellingShingle Andrew Cai
Khurram Siddique
Michelle Hamer
Sanjoy Basu
Acute Chest Presentation following a Laparoscopic Nissen Fundoplication
Journal of Surgical Case Reports
laparoscopic
nissen
fundoplication
complication
hernia
paraoesophageal
title Acute Chest Presentation following a Laparoscopic Nissen Fundoplication
title_full Acute Chest Presentation following a Laparoscopic Nissen Fundoplication
title_fullStr Acute Chest Presentation following a Laparoscopic Nissen Fundoplication
title_full_unstemmed Acute Chest Presentation following a Laparoscopic Nissen Fundoplication
title_short Acute Chest Presentation following a Laparoscopic Nissen Fundoplication
title_sort acute chest presentation following a laparoscopic nissen fundoplication
topic laparoscopic
nissen
fundoplication
complication
hernia
paraoesophageal
url http://jscr.co.uk/2010/08/cardiothoracic-surgery/acute-chest-presentation-following-a-laparoscopic-nissen-fundoplication/
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AT khurramsiddique acutechestpresentationfollowingalaparoscopicnissenfundoplication
AT michellehamer acutechestpresentationfollowingalaparoscopicnissenfundoplication
AT sanjoybasu acutechestpresentationfollowingalaparoscopicnissenfundoplication