title: Cecal herniation through the foramen of Winslow after laparoscopic Nissen fundoplication.
abstract: Laparoscopic Nissen fundoplication is the treatment of choice for medically refractive gastroesophageal reflux disease. Cecal herniation is an exceedingly rare complication of this procedure. We report the case of a 51-year-old woman who presented 2 months after a successful laparoscopic Nissen fundoplication with heartburn and epigastric pain that radiated to her back. Abdominal films showed an air-filled loop in the left upper quadrant. At surgery, the patient had a redundant loop of cecum, which had herniated through the foramen of Winslow over the stomach and was positioned beneath the left hemidiaphragm. The cecum was not ischemic. A right hemicolectomy was performed to prevent recurrence. The patient recovered fully and has had no further problems. This is the first report of such a case.
authors.affiliation: Department of Surgery, Creighton University School of Medicine, St. Joseph Hospital, 601 N. 30th Street, Suite 3740, Omaha, Nebraska 68131-2197, USA.
authors.forename: T D
authors.initials: TD
authors.lastname: Samson
authors.forename: F M
authors.initials: FM
authors.lastname: Tercero
authors.forename: K
authors.initials: K
authors.lastname: Sato
authors.forename: Z T
authors.initials: ZT
authors.lastname: Awad
authors.forename: C J
authors.initials: CJ
authors.lastname: Filipi
mesh_terms: D002429:Cecal Diseases / Q000209:etiology*; D005260:Female; D018662:Fundoplication / Q000009:adverse effects* / Q000379:methods; D005764:Gastroesophageal Reflux / Q000601:surgery; D006547:Hernia / Q000209:etiology*; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects* / Q000379:methods; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology*