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Gastric necrosis complicating lately a Nissen fundoplication. Report of a case
Nicola Patuto1, Yves Acklin, Daniel Oertli
1Department of Surgery, University Hospital Basel, Basel, Switzerland.
Background:
Gastric necrosis after Nissen fundoplication is a rare and life-threatening complication described in paediatric surgery and in some experimental models. Prompt diagnosis and appropriate therapy of acute gastric dilatation is mandatory to avoid potentially fatal gastric necrosis.
Case Report:
This case report is the first one to describe a gastric necrosis in an adult as a late and very severe complication after Nissen fundoplication. Gastric dilatation and subsequent necrosis occurred 14 years after Nissen fundoplication because of small bowel obstruction based on adhesions.
Conclusion:
Early diagnosis and treatment of gastric dilatation after Nissen fundoplication are essential to prevent from severe secondary complications but can be difficult to establish because of atypical symptoms.
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