Tracheal Compression Secondary to Esophageal Dilatation after a Slipped Nissen Fundoplication
✍ Scribed by Roy Rajan; Jerome W. Thompson
- Publisher
- John Wiley and Sons
- Year
- 2009
- Tongue
- English
- Weight
- 389 KB
- Volume
- 119
- Category
- Article
- ISSN
- 0023-852X
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✦ Synopsis
Objective:
We describe a case report of a child presenting with extrinsic tracheal compression from a dilated esophagus stemming from a slipped Nissen fundoplication.
Study Design: Case Report Methods: A 20-month-old female found to have extrinsic tracheal compression on bronchoscopy has a CT scan revealing tracheal compression, esophageal dilatation and a paraesophageal hernia. An upper GI-series confirms the presence of a slipped Nissen fundoplication. The patient undergoes a revision procedure to correct this.
Results: The patient's stridor subsides significantly as well as her neck retractions postoperatively. She tolerates tube feeding without emesis and is discharged home.
Conclusions: In a patient who presents with stridor and frequent emesis after a Nissen fundoplication, a slipped Nissen causing esophageal dilatation should be considered. If it this is found, revising the gastric wrap should alleviate the problem.