PMC6363666_01
A plain abdominal radiograph showing a massive pneumoperitoneum within the abdominal cavity.
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F1
The abdominal X-ray obtained in a supine position showed a massive free air within the peritoneal cavity and undigested remains of food along the alimentary tract imitating the contrasting liquid (Figure 1).
(A,B) Intraoperative findings of partial gastric necrosis and perforation (before and after debridement of necrotic tissue).
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F2
The size of the perforation measured 7 x 3 cm affecting the greater curvature on the posterior wall of the stomach (Figures 2A,B).
(A,B) Hematoxylin and Eosin-stained (H&E) sections of the resected stomach revealed the presence of the extensive necrosis affecting the entire gastric wall (B) while the left image (A) shows in part preserved the mucosal surface of the gastric wall (10x).
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F3
The pathology assessment of the gastric wall showed a multiple areas of massive, transmural necrosis (Figures 3A,B).