Cecal herniation through the foramen of Winslow after laparoscopic Nissen fundoplication.

T. D. Samson, F. M. Tercero, K. Sato, Z. T. Awad, Charles Filipi

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Abstract

Laparoscopic Nissen fundoplication is the treatment of choice for medically refractive gastroesophageal reflux disease. Cecal herniation is an exceedingly rare complication of this procedure. We report the case of a 51-year-old woman who presented 2 months after a successful laparoscopic Nissen fundoplication with heartburn and epigastric pain that radiated to her back. Abdominal films showed an air-filled loop in the left upper quadrant. At surgery, the patient had a redundant loop of cecum, which had herniated through the foramen of Winslow over the stomach and was positioned beneath the left hemidiaphragm. The cecum was not ischemic. A right hemicolectomy was performed to prevent recurrence. The patient recovered fully and has had no further problems. This is the first report of such a case.

Original languageEnglish
Pages (from-to)1490
Number of pages1
JournalSurgical Endoscopy
Volume15
Issue number12
StatePublished - Dec 2001

All Science Journal Classification (ASJC) codes

  • Surgery

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    Samson, T. D., Tercero, F. M., Sato, K., Awad, Z. T., & Filipi, C. (2001). Cecal herniation through the foramen of Winslow after laparoscopic Nissen fundoplication. Surgical Endoscopy, 15(12), 1490.