PMC6317118_01
(a) Posterio-anterior chest radiograph showing a large left pleural effusion with atelectasis of the left lung. (b) Axial chest CT showing a large left pleural effusion with complete atelectasis of the left lower lobe. (c) Sagittal abdominal and pelvis CT showing a large leak with perisplenic collection. The abdominal collection is connected to the pleural collection through a fistula.
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fig1
Preop imaging showed a large gastric leak with perisplenic collection (Figure 1). Few alveolar and tree-in-bud opacities were noted in the right upper lobe and apical segment of the right lower lobe, representing pulmonary infections (Figure 1(b)). The abdominal collection was connected to the pleural collection through a fistula (Figure 1(c)).
(a) Upper GI series showing frank extravasation of the oral contrast at the site of the proximal suture (red arrows). (b) Upper GI series showing no gastric leak upon comparison with the previous upper GI study.
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fig2
The upper GI series showed a frank extravasation of the oral contrast at the site of the proximal suture (Figure 2(a)). Eight days later, another upper GI series was performed which showed no gastric leak upon comparison with the previous upper GI study (Figure 2(b)).