Severe Referred Shoulder Pain Following Revision Fundoplication From a Stich on the Diaphragm

Am Surg. 2021 Apr 13:31348211011110. doi: 10.1177/00031348211011110. Online ahead of print.ABSTRACTComplications following fundoplication surgery for hiatal hernias are rare. Herein, we present the case of a 61-year-old woman who underwent a Nissen fundoplication, complicated by dysphagia, and a revision modified Toupet fundoplication for a hiatal hernia, after which she began to experience severe prandial referred left shoulder pain that was refractory to medical management. We hypothesized that a diaphragmatic suture placed during the revision fundoplication could be the source of the pain, and we elected to remove the suture, resulting in resolution of the pain. This pain remained resolved at the most recent follow-up on postoperative week six, and the patient had no further concerns.PMID:33847159 | DOI:10.1177/00031348211011110
Source: The American Surgeon - Category: Surgery Authors: Source Type: research