Splenic and parasplenic abscess as a late complication of laparoscopic nissen fundoplication--case report and review of the literature.
OBJECTIVE
To present a rare late complication of laparoscopic Nissen fundoplication.


METHODS
Splenic and parasplenic abscess which formed in 25 year old man sixty days after laparoscopic Nissen fundoplication was not adequately detected by a double ultrasound examination but by a CT-scan, ordered when general status of the patient deteriorated.


RESULTS
Operative treatment comprised splenectomy with drainage and subsequent relaparotomy for intestinal obstruction. Postoperative course afterwards was good without a relapse of the reflux syndrome.


CONCLUSIONS
Authors stress the beneficial role of tightness control after difficult fundoplications and less value of the ultrasound than a CT-scan in detecting problems of the in upper epigastrium.
Samodzielna Pracownia Pielegniarstwa Chirurgicznego Pomorskiej Akademii Medycznej w Szczecinie, Szczecin.
Włodzimierz D
WD
Majewski
Tadeusz
T
Sulikowski
Marek
M
Kamiński
Marek
M
Ostrowski
D000038:Abscess / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D000328:Adult; D018662:Fundoplication / Q000009:adverse effects*; D005764:Gastroesophageal Reflux / Q000601:surgery; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D008297:Male; D012086:Reoperation; D013156:Splenectomy; D013158:Splenic Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D014057:Tomography, X-Ray Computed