PMC7060911_01
First X-ray was in ED which showed pneumoperitoneum with air fluid line
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Chest X-ray showed an average amount of air under diaphragm with air fluid line (Figure 1).
Second X-ray was 2 days after the first operation i.e. omental Graham patch operation, which showed a significant huge hydro pneumoperitoneum
PAMJ-34-217-g002.jpg
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X-ray (Figure 2) and computed scan (CT) scan showed a huge amount of hydro pneumoperitoneum (Figure 3, Figure 4).
CT Scan was 2 days after omental Graham patch operation, showing massive hydro pneumoperitoneum
PAMJ-34-217-g003.jpg
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X-ray (Figure 2) and computed scan (CT) scan showed a huge amount of hydro pneumoperitoneum (Figure 3, Figure 4).
CT Scan was 2 days after the first operation, omental Graham patch operation, showing massive hydro pneumoperitoneum
PAMJ-34-217-g004.jpg
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X-ray (Figure 2) and computed scan (CT) scan showed a huge amount of hydro pneumoperitoneum (Figure 3, Figure 4).
Third X-ray was 6 days after the second operation, omental buttressing, that showing no air or fluid in abdominal cavity
PAMJ-34-217-g005.jpg
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Omental buttressing was done and the patient was OK after that (Figure 5).