PMC9844956_01
Abdomen of the patient, upper umbilicus-xiphoid process showed scarring during gastric cancer surgery. Trocars were placed in four places (red circles). Palmer's point (P): 3 cm below the lower edge of the rib arch on the midclavicular line; Jain point (J): the left paraumbilical region 2.5 cm medially above the anterior superior iliac spine and up to the side of the navel.
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As no adhesion was found in the lower abdomen, surgical ports were placed in three additional locations (Fig. 1).
Contrast-enhanced CT on the third day after the primary operation. (A) The continuity of the transverse colon wall was interrupted. (B) Abscess formation was suspected with a surrounding stool mass.
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Abscess formation with a surrounding stool mass was suspected (Fig. 2).
Findings on repeat surgery. (A) The wall was markedly thin, but no perforation was noted. (B) Necrotic changes were observed locally on the mucosal surface of the colon by ~5 cm.
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The proximal transverse colon was necrotic for ~5 cm, and the wall was markedly thin, but no perforation was noted (Fig. 3).