Cecal herniation through the foramen of Winslow after laparoscopic Nissen fundoplication.

T. D. Samson, F. M. Tercero, K. Sato, Z. T. Awad, C. J. Filipi

Research output: Contribution to journalArticlepeer-review

5 Scopus citations


Laparoscopic Nissen fundoplication is the treatment of choice for medically refractive gastroesophageal reflux disease. Cecal herniation is an exceedingly rare complication of this procedure. We report the case of a 51-year-old woman who presented 2 months after a successful laparoscopic Nissen fundoplication with heartburn and epigastric pain that radiated to her back. Abdominal films showed an air-filled loop in the left upper quadrant. At surgery, the patient had a redundant loop of cecum, which had herniated through the foramen of Winslow over the stomach and was positioned beneath the left hemidiaphragm. The cecum was not ischemic. A right hemicolectomy was performed to prevent recurrence. The patient recovered fully and has had no further problems. This is the first report of such a case.

Original languageEnglish (US)
Pages (from-to)1490
Number of pages1
JournalSurgical endoscopy
Issue number12
StatePublished - Dec 2001

All Science Journal Classification (ASJC) codes

  • Surgery


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