Danetz J S, Jayawant A M, Dattilo J B, DeMaria E J, Cohen N M
Department of Surgery, Medical College of Virginia, Virginia Commonwealth University, Richmond 23298-0068, USA.
J Laparoendosc Adv Surg Tech A. 2000 Oct;10(5):277-81. doi: 10.1089/lap.2000.10.277.
Nissen fundoplication is the most commonly performed surgical procedure in the management of gastroesophageal reflux disease. Esophageal and gastric perforations most commonly occur in the perioperative period and carry significant morbidity. We describe a unique case of intrathoracic gastric wrap perforation and its suspected pathophysiology almost two decades after the original procedure.