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  • Title: Splenic and parasplenic abscess as a late complication of laparoscopic nissen fundoplication--case report and review of the literature.
    Author: Majewski WD, Sulikowski T, Kamiński M, Ostrowski M.
    Journal: Ann Acad Med Stetin; 2007; 53(2):39-41. PubMed ID: 18557374.
    Abstract:
    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.
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