Radiologic evaluation of postoperative gastropericardial fistula

Area of Science:

• Gastroenterology
• Surgical Innovation
• Medical Case Reports

Background:

• Laparoscopic Nissen fundoplication is the standard surgical treatment for complicated gastroesophageal reflux disease (GERD) and symptomatic hiatal hernia.
• While offering benefits like shorter hospital stays compared to open surgery, potential complications exist.

Observation:

• This report details an unusual late complication following laparoscopic Nissen fundoplication.
• The complication, a gastropericardial fistula, was observed four years after the initial laparoscopic procedure.

Findings:

• Gastropericardial fistula is a rare but serious complication of laparoscopic Nissen fundoplication.
• This case highlights the importance of considering uncommon long-term sequelae of anti-reflux surgery.

Implications:

• Awareness of this rare complication is crucial for surgeons performing Nissen fundoplication.
• Further research may be needed to understand the mechanisms and prevention of such late-onset fistulas.