PMC9035944_01
a, b Image of a contrast-enhanced CT with pneumoperitoneum and bowel wall thickening.
crg-0016-0223-g01.jpg
PMC9035944_01_crg-0016-0223-g01.jpg
F1
A contrast-enhanced abdominal computed tomography (CT) scan raised the suspicion of a gastroduodenal perforation (see Fig. 1a, b).
a Image of the duodenal ulceration taking 50% of the circumference of the duodenal bulb. b Image of the Eso-sponge placed near the ulceration and leakage site.
crg-0016-0223-g02.jpg
PMC9035944_01_crg-0016-0223-g02.jpg
F2
We observed a duodenal ulceration involving 50% of the circumference of the duodenal bulb (see Fig. 2a). Finally, the Eso-Sponge was placed on the area of the perforation at the bulb using an endoscopic forceps (see Fig. 2b).
a Image of the postoperative site with no more signs of ulceration or leakage endoscopically. b Image of the postoperative by fluoroscopy and injection of contrast. There is no sign of leakage.
crg-0016-0223-g03.jpg
PMC9035944_01_crg-0016-0223-g03.jpg
F3
The Eso-sponge was changed every 3-4 days and after 3 weeks we could confirm the healing of the leakage endoscopically and radiologically (see Fig. 3a, b).