Use of temporary oesophageal stent in the management of oesophageal perforation after laparoscopic redo-Nissen Fundoplication in a paediatric case.

Iatrogenic perforation of the oesophagus is life threatening, usually managed surgically. A 4 year-old boy sustained an intra-operative oesophageal perforation while undergoing laparoscopic redo-Nissen Fundoplication for gastrooesophgeal reflux symptoms. After several failed attempts to manage the patients surgically and conservatively, he was successfully treated by deployment of a temporary covered stent. Although commonly employed as an alternative management option in adults, the use of temporary covered stents in the paediatric population is rare especially for nonmalignant disease. This technique can potentially reduce morbidity and surgical intervention.