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Delayed intrathoracic gastric perforation after obesity surgery: a severe complication.

Vogelaar FJ, Adhin SK, Schuttevaer HM - Obes Surg (2008)

Bottom Line: We describe a case of a patient with an intrathoracic gastric perforation, 6 months after she underwent a gastric banding procedure for the treatment of morbid obesity.After an urgent laparotomy during which the stomach was replaced and oversewn, she recovered uneventfully.The possible mechanism of this severe complication is discussed.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Rijnland Hospital, Simon Smitweg 2, P.O. Box 2321 GA, Leiderdorp, The Netherlands. j.vogelaar@rijnland.nl

ABSTRACT
We describe a case of a patient with an intrathoracic gastric perforation, 6 months after she underwent a gastric banding procedure for the treatment of morbid obesity. After an urgent laparotomy during which the stomach was replaced and oversewn, she recovered uneventfully. The possible mechanism of this severe complication is discussed.

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Intrathoracic position of the stomach with a shift of the mediastinum to the right
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Fig1: Intrathoracic position of the stomach with a shift of the mediastinum to the right

Mentions: A 37-year-old woman was admitted to our emergency department with acute onset of abdominal pain, vomiting, and dyspnea. Six months earlier, she had undergone laparoscopic adjustable gastric banding (Lap-Band®)for severe obesity. Physical examination now showed an anxious, dyspneic woman with a respiratory rate of 45 per minute. There was a tachycardia (140/minute) and blood pressure difference between the left (60/40 mmHg) and the right arm (110/70 mmHg). Auscultation of the chest revealed diminished breathing sounds on the left side. Chest x-ray showed an intrathoracic position of the stomach through a paraesophageal hernia with a shift of the mediastinum to the right (Fig. 1). A small pneumothorax was seen.Fig. 1


Delayed intrathoracic gastric perforation after obesity surgery: a severe complication.

Vogelaar FJ, Adhin SK, Schuttevaer HM - Obes Surg (2008)

Intrathoracic position of the stomach with a shift of the mediastinum to the right
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2367390&req=5

Fig1: Intrathoracic position of the stomach with a shift of the mediastinum to the right
Mentions: A 37-year-old woman was admitted to our emergency department with acute onset of abdominal pain, vomiting, and dyspnea. Six months earlier, she had undergone laparoscopic adjustable gastric banding (Lap-Band®)for severe obesity. Physical examination now showed an anxious, dyspneic woman with a respiratory rate of 45 per minute. There was a tachycardia (140/minute) and blood pressure difference between the left (60/40 mmHg) and the right arm (110/70 mmHg). Auscultation of the chest revealed diminished breathing sounds on the left side. Chest x-ray showed an intrathoracic position of the stomach through a paraesophageal hernia with a shift of the mediastinum to the right (Fig. 1). A small pneumothorax was seen.Fig. 1

Bottom Line: We describe a case of a patient with an intrathoracic gastric perforation, 6 months after she underwent a gastric banding procedure for the treatment of morbid obesity.After an urgent laparotomy during which the stomach was replaced and oversewn, she recovered uneventfully.The possible mechanism of this severe complication is discussed.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Rijnland Hospital, Simon Smitweg 2, P.O. Box 2321 GA, Leiderdorp, The Netherlands. j.vogelaar@rijnland.nl

ABSTRACT
We describe a case of a patient with an intrathoracic gastric perforation, 6 months after she underwent a gastric banding procedure for the treatment of morbid obesity. After an urgent laparotomy during which the stomach was replaced and oversewn, she recovered uneventfully. The possible mechanism of this severe complication is discussed.

Show MeSH
Related in: MedlinePlus