PMC5022238_01
Duodenal compression (axial CT image)
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PMC5022238_01_40608_2016_119_Fig1_HTML.jpg
Fig1
Follow-up imaging at week 8 showed that the WOPN was compressing the distal stomach and duodenum with symptoms of gastric outlet obstruction (Figs. 1, 2, 3 and 4).
WOPN imaging (coronal CT image)
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PMC5022238_01_40608_2016_119_Fig2_HTML.jpg
Fig2
Follow-up imaging at week 8 showed that the WOPN was compressing the distal stomach and duodenum with symptoms of gastric outlet obstruction (Figs. 1, 2, 3 and 4).
Sleeve compression (coronal CT image)
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PMC5022238_01_40608_2016_119_Fig3_HTML.jpg
Fig3
Follow-up imaging at week 8 showed that the WOPN was compressing the distal stomach and duodenum with symptoms of gastric outlet obstruction (Figs. 1, 2, 3 and 4).
Sleeve compression (axial CT image)
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PMC5022238_01_40608_2016_119_Fig4_HTML.jpg
Fig4
Follow-up imaging at week 8 showed that the WOPN was compressing the distal stomach and duodenum with symptoms of gastric outlet obstruction (Figs. 1, 2, 3 and 4).
Duodenal bulb extrinsic compression from WOPN
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PMC5022238_01_40608_2016_119_Fig5_HTML.jpg
Fig5
Esophagogastroduodenosocpy (EGD) revealed a tubular gastric body and part of the antrum, with extrinsic compression in the antrum and duodenal bulb from the WOPN (Fig. 5).
Fistula creation*
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Fig6
The preferred fistula site was in the duodenal bulb due to distance from sleeve, cyst location and desire to avoid the staple line (Figs. 6 and 7).
Fistula*
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Fig7
The preferred fistula site was in the duodenal bulb due to distance from sleeve, cyst location and desire to avoid the staple line (Figs. 6 and 7).
WOPN cavity*
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PMC5022238_01_40608_2016_119_Fig8_HTML.jpg
Fig8
The patient underwent successful TDN (Figs. 8 and 9) with placement of three 10 Fr pigtail stents (Fig. 10).
Necrosectomy
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PMC5022238_01_40608_2016_119_Fig9_HTML.jpg
Fig9
The patient underwent successful TDN (Figs. 8 and 9) with placement of three 10 Fr pigtail stents (Fig. 10).