Splenic and parasplenic abscess as a late complication of laparoscopic nissen fundoplication--case report and review of the literature. Annales Academiae Medicae Stetinensis [Ann Acad Med Stetin] Journal article

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.

Annales Academiae Medicae Stetinensis [Ann Acad Med Stetin]