and hiatoplasty. Pleural empyema arose as a postoperative complication and was treated with irrigation and partial pleurectomy. A persistent pleural fluid collection was drained under CT guidance.

A 62-year-old man with a large hiatus hernia underwent Dor fundoplication with posterior hiatoplasty in 2018. In the spring of 2021 he presented with worsening loss of appetite, describing a ...