PMC5167236_01
Showing opaque left hemithorax with bronchiectatic changes on right side.
gr1.jpg
PMC5167236_01_gr1.jpg
fig0005
PA view showed opaque left hemithorax with leftward shift of mediastinum and fibrobronchectatic opacities in right upper and middle zones (Fig. 1). Plain X-Ray abdomen revealed a single massively distended viscus occupying almost whole of the abdomen, predominantly in the epigastrium and the umbilical region, showing a large fluid level in erect position (Fig. 2).
(a) Shows single large air-fluid level. (b) Shows single large gaseous shadow.
gr2.jpg
PMC5167236_01_gr2.jpg
fig0010
PA view showed opaque left hemithorax with leftward shift of mediastinum and fibrobronchectatic opacities in right upper and middle zones (Fig. 1). Plain X-Ray abdomen revealed a single massively distended viscus occupying almost whole of the abdomen, predominantly in the epigastrium and the umbilical region, showing a large fluid level in erect position (Fig. 2).
Showing distended and gangrenous stomach.
gr3.jpg
PMC5167236_01_gr3.jpg
fig0015
Stomach was markedly distended, twisted (organoaxially) and gangrene was present at the fundus and body (Fig. 3).
Showing end to end esophago-jejunostomy.
gr4.jpg
PMC5167236_01_gr4.jpg
fig0020
Total gastrectomy with Roux-en-Y esophagojejunostomy was performed (Fig. 4) with placement of left subdiaphragmatic drain near the esophagojejunostomy and another in the Morrison's pouch near the duodenal stump.
Shows tree in bud appearance on CECT chest suggestive of active tuberculosis.
gr5.jpg
PMC5167236_01_gr5.jpg
fig0025
Postoperative CECT chest revealed bronchiectasis with fibrotic cavities in right lung and chronic empyema on the left side (Fig. 5).