[Para-hiatal gastric strangulation after Toupet's operation].
An exceptional case of incarcerated para-hiatal hernia with gastric necrosis, developing 7 years a Toupet procedure, is reported. To our knowledge, this is the first reported case of this complication after a surgical anti-reflux procedure without diaphragmatic counter incision. The mechanism, diagnostic difficulties and treatment are discussed.
Clinique Chirurgicale, CHU Charles Nicolle, Rouen.
C
C
Peillon
H
H
Steyaert
J
J
Testart
P
P
Heliot
J F
JF
Muir
D000328:Adult; D005260:Female; D005402:Fistula / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D005747:Gastric Fistula / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006547:Hernia / Q000000981:diagnostic imaging / Q000209:etiology; D006551:Hernia, Hiatal / Q000601:surgery*; D059685:Herniorrhaphy; D006801:Humans; D009336:Necrosis; D010995:Pleural Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D011183:Postoperative Complications; D011859:Radiography; D013272:Stomach Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology / Q000601:surgery
Etranglement gastrique para-hiatal après intervention de Toupet.