Dilated esophagus and tracheal compression secondary to a slipped Nissen fundoplication: a case report.
Publication/Presentation Date
1-1-2012
Abstract
We describe the case of a 20-month-old girl with a gastrostomy tube who presented with stridor, daily emesis, stertor, and mild neck retractions. Endoscopic and radiologic investigations revealed a dilated esophagus, an associated tracheal compression, and a paraesophageal hernia secondary to a slipped Nissen fundoplication. The patient underwent a revision fundoplication, and her stridor, stertor, and neck retractions subsided significantly. She tolerated tube feeding without emesis and was discharged home. We recommend a careful evaluation of fundoplication in patients who have undergone the procedure who present with stridor and frequent emesis. Esophageal dilation and associated tracheal compression should be considered in the differential diagnosis, and in such a case, revision of the gastric wrap should alleviate the problem.
Volume
91
Issue
1
First Page
26
Last Page
27
ISSN
1942-7522
Published In/Presented At
Rajan, R., & Thompson, J. W. (2012). Dilated esophagus and tracheal compression secondary to a slipped Nissen fundoplication: a case report. Ear, nose, & throat journal, 91(1), 26–27. https://doi.org/10.1177/014556131209100109
Disciplines
Medicine and Health Sciences
PubMedID
22278866
Department(s)
Department of Medicine, Department of Surgery, Division of Otolaryngology
Document Type
Article