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Inicio Cirugía Española (English Edition) Hematoma of a Nissen fundoplication
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Vol. 99. Núm. 1.
Páginas 63 (enero 2020)
Vol. 99. Núm. 1.
Páginas 63 (enero 2020)
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Hematoma of a Nissen fundoplication
Hematoma de la funduplicatura de Nissen
Visitas
1168
Ignacio Fuentea,
Autor para correspondencia
, Sebastián Duranb, Axel Beskowa, Fernando Wrighta
a Servicio de Cirugía General, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
b Servicio de Gastroenterología, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
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A 32-year-old patient was evaluated for gastroesophageal reflux disease at our hospital, and laparoscopic Nissen fundoplication was performed. He was discharged 24h later, with no complications. Seven days after surgery, he reported having progressive dysphagia and chest pain. Computed tomography scans of the thorax, abdomen and pelvis revealed a homogeneous collection measuring 40×32mm in the thickness of the gastric wall (Fig. 1). Upper gastrointestinal endoscopy showed a subepithelial collection in the area of the fundoplication (Fig. 2).

Fig. 1
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Fig. 2
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After treatment with corticosteroids, the patient evolved favorably and was discharged 24h later, showing good tolerance to a liquid diet.

Hematoma is a rare complication of Nissen fundoplication that should be included in the differential diagnosis of a recently operated patient with dysphagia.

Please cite this article as: Fuente I, Duran S, Beskow A, Wright F. Hematoma de la funduplicatura de Nissen. Cir Esp. 2021;99:63.

Copyright © 2020. AEC
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