PMC5501890_01
CT abdomen & pelvis- Coronal view.. Gastroduodenal pneumotosis mainly in the posterior gastric wall, and 1st and 2nd part of the duodenum. There is a moderately distended air-fluid filled stomach and duodenum to the midline third part of the duodenum. Right and left intrahepatic portal venous pneumatosis is observed. There is small volume intraluminal pneumoatosis in the medial perigastric area.
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CT scan of the abdomen and pelvis reported evidence of a complicated gastric outlet obstruction with gastroduodenal pneumatosis, as well as right and left intrahepatic portal venous pneumatosis (Fig. 1).
Laparoscopic images of duodenojeujenostomy procedure.. A- Final repair of the duodenojejunostomy.. B- Testing the integrity of the anastomosis by injecting methylene blue under pressure into the nasogastric tube.
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Laparoscopic duodenojejunostomy was discussed with the patient and consent was obtained (Fig. 2).