PMC7215237_01
CT scan showing intra-abdominal and mediastinal free air and extraluminal contrast from the patient's gastric perforation. (a) Coronal view. (b) Axial view.
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fig1
A subsequent computed tomography (CT) scan showed a persistent hernia with intra-abdominal and mediastinal free air and extraluminal contrast (Figures 1(a) and 1(b)).
A still from the intraoperative video showing the perforation along the greater curvature of the fundus.
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fig2
The patient underwent a laparoscopic dissection and reduction of her hiatal hernia with the repair of her gastric perforation and abdominal and mediastinal washout (Figure 2).