Splenic and parasplenic abscess as a late complication of laparoscopic nissen fundoplication--case report and review of the literature.

PURPOSE: To present a rare late complication of laparoscopic Nissen fundoplication.

MATERIAL AND

METHODS

Splenic and parasplenic abscess which formed in 25 year old man sixty days after laparoscopic Nissen fundoplication was not adequately detected by a double ultrasound examination but by a CT-scan, ordered when general status of the patient deteriorated.

RESULTS

Operative treatment comprised splenectomy with drainage and subsequent relaparotomy for intestinal obstruction. Postoperative course afterwards was good without a relapse of the reflux syndrome.

CONCLUSION

Authors stress the beneficial role of tightness control after difficult fundoplications and less value of the ultrasound than a CT-scan in detecting problems of the in upper epigastrium.