[Dysphagia and dyspnea after laparoscopic fundoplication].
Intrathoracic gastric herniation after laparoscopic antireflux surgery is a rare but well known phenomenon. It may occur during the early and late postoperative period. We report on a patient with early onset of dysphagia after surgery due to a tight wrap. Subsequent vomiting and dysphagia increased due to a gastric herniation. After gastroscopy and bougienage, tension pneumothorax developed. The context and relationships are illustrated and discussed referring to the current literature.
Wieckenberg
M
M
Evangelisches Krankenhaus, Göttingen-Weende e.V., An der Lutter 24, 37075 Göttingen. Wieckenbergm@gmx.de
Schahmirzadi
F
F
Fleischer
B
B
D003680:Deglutition Disorders / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D004106:Dilatation; D004417:Dyspnea / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D004939:Esophageal Perforation / Q000000981:diagnostic imaging / Q000601:surgery; D004940:Esophageal Stenosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D004945:Esophagoscopy; D018662:Fundoplication; D006547:Hernia; D006551:Hernia, Hiatal / Q000000981:diagnostic imaging* / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D011030:Pneumothorax / Q000000981:diagnostic imaging* / Q000601:surgery; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D011859:Radiography; D012086:Reoperation; D013272:Stomach Diseases / Q000000981:diagnostic imaging* / Q000601:surgery; D013529:Surgical Wound Dehiscence / Q000000981:diagnostic imaging / Q000601:surgery