SciELO - Scientific Electronic Library Online

 
vol.40 número2Hematoma subcapsular intraparenquimatoso hepático roto, una rara complicación post-colangiopancreatografía retrógrada endoscópica. Reporte de un casoReporte de caso clínico de un tumor del estroma gastrointestinal (GIST) gigante y revisión bibliográfica índice de autoresíndice de assuntospesquisa de artigos
Home Pagelista alfabética de periódicos  

Serviços Personalizados

Journal

Artigo

Indicadores

Links relacionados

  • Não possue artigos similaresSimilares em SciELO

Compartilhar


Cirujano general

versão impressa ISSN 1405-0099

Resumo

ALDAMA LOPEZ, Karla Erika; SANCHEZ CAMARENA, César Arturo; SALINAS OCAMPO, Christian Luis  e  SANABRIA TRUJILLO, Ricardo. Intrathoracic gastric perforation secondary to laparoscopic fundoplication: an unusual complication. Report of a case. Cir. gen [online]. 2018, vol.40, n.2, pp.123-126. ISSN 1405-0099.

Introduction:

Laparoscopic fundoplication has become the surgical treatment of choice for gastroesophageal reflux disease due to minimal complications, one of which is esophageal or gastric perforation, this last one has the lowest incidence, but is the one with the worst prognosis. Most gastric perforations are detected and treated intraoperatively and those detected in the postoperative period require reoperation and present a high morbidity and mortality due in some cases to the presence of acute mediastinitis, of which the reports in the literature are limited. In addition, there are few reported cases of perforation with simultaneous herniation.

Method:

A clinical case of a patient who underwent intrathoracic gastric perforation is presented as the complication of a laparoscopic fundoplication, presenting acute mediastinitis. It describes its management and evolution as well as a review of the subject. This case was managed with surgical reoperation, drainage and placement of pleural and pericardial drains.

Results:

The patient died despite adequate treatment.

Conclusions:

Postoperative gastric perforation by laparoscopic fundoplication may be complicated by acute mediastinitis, the most lethal chest infection. It is a rare complication, with a difficult diagnosis due to its non-specific presentation and its late diagnosis increases its mortality.

Palavras-chave : Laparosopic fundoplication; gastric perforation; acute mediastinitis.

        · resumo em Espanhol     · texto em Espanhol     · Espanhol ( pdf )