title: Acute Chest Presentation following a Laparoscopic Nissen Fundoplication.
abstract: 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.
authors.affiliation: William Harvey Hospital, Ashford, UK.
authors.forename: Andrew
authors.initials: A
authors.lastname: Cai
authors.affiliation: William Harvey Hospital, Ashford, UK.
authors.forename: Khurram
authors.initials: K
authors.lastname: Siddique
authors.affiliation: William Harvey Hospital, Ashford, UK.
authors.forename: Michelle
authors.initials: M
authors.lastname: Hamer
authors.affiliation: William Harvey Hospital, Ashford, UK.
authors.forename: Sanjoy
authors.initials: S
authors.lastname: Basu