Unusual complications following laparoscopic Nissen fundoplication

Laparoscopic Nissen fundoplication is commonly used to treat medically refr actory gastroesophageal reflux disease. The most frequent severe complicati ons following laparoscopic Nissen fundoplication are pneumothorax, gastroes ophageal leak, and splenic injury. Prompt recognition and treatment of comp lications are important in reducing subsequent morbidity and mortality. Thi s report describes two postoperative complications: (1) delayed diagnosis o f a postoperative gastric perforation despite an unrevealing work-up for po stoperative fever and abdominal pain; and (2) postoperative pancreatitis fo llowing revision of a fundoplication.