{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:04:29Z","timestamp":1756339469853,"version":"3.44.0"},"reference-count":4,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,11,13]]},"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:p>Mediastinal haematoma is a rare complication of laparoscopic paraoesophageal hernia repair with few documented cases in the current literature. Presentation of this unique clinical problem can range from extrinsic oesophageal obstruction to life-hreatening cardiac tamponade and therefore, warrants further discussion of at-risk population aetiology, diagnosis and successful management strategies. We present the case of a 71-year-old woman who underwent laparoscopic paraoesophageal hernia repair with nissen fundoplication complicated by severe dysphagia on postoperative day 12. Further evaluation with oesophagram and CT imaging revealed a large mediastinal haematoma with near obstruction of the distal oesophagus. This was managed successfully with laparoscopic transhiatal washout and drainage.<\/jats:p>","DOI":"10.1136\/bcr-2019-232560","type":"journal-article","created":{"date-parts":[[2019,12,6]],"date-time":"2019-12-06T05:09:15Z","timestamp":1575608955000},"page":"e232560","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Large mediastinal haematoma after paraoesophageal hernia repair"],"prefix":"10.1136","volume":"12","author":[{"given":"Tim","family":"Finnegan","sequence":"first","affiliation":[{"name":"Surgery, Memorial University Medical Center, Savannah, Georgia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicholas","family":"MacDonald","sequence":"additional","affiliation":[{"name":"Mercer University School of Medicine, Macon, Georgia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Gianis","sequence":"additional","affiliation":[{"name":"Surgery, Memorial University Medical Center, Savannah, Georgia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher","family":"Senkowski","sequence":"additional","affiliation":[{"name":"Surgery, Memorial University Medical Center, Savannah, Georgia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,12,5]]},"reference":[{"key":"2025082707162850000_12.12.e232560.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2009.10.005"},{"key":"2025082707162850000_12.12.e232560.2","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1016\/j.surg.2011.08.009","article-title":"Cardiac tamponade as a life-threatening complication in hernia repair","volume":"152","author":"Frantzides","year":"2012","journal-title":"Surgery"},{"key":"2025082707162850000_12.12.e232560.3","first-page":"282","article-title":"Esophagectomy without thoracotomy: is there a risk of intramediastinal bleeding? A study on blood supply of the esophagus","volume":"23","author":"Ford","year":"1988","journal-title":"J Pediatr Surg"},{"key":"2025082707162850000_12.12.e232560.4","first-page":"1","article-title":"\u201cUnusual complication after paraesophageal hernia repair\u201d","volume":"1","author":"Tabola","year":"2016","journal-title":"Ann Clin Case Rep"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2019-232560","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T14:16:39Z","timestamp":1756304199000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2019-232560"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,12]]},"references-count":4,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2019,12,5]]},"published-print":{"date-parts":[[2019,12]]}},"alternative-id":["10.1136\/bcr-2019-232560"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2019-232560","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2019,12]]}}}