PMC6754919_01
Computed tomographic scan showing perigastric collection adjacent to gastroesophageal junction and along sleeve gastrectomy sutures. Arrow: perigastric collection.
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fig1
CT abdomen was done and revealed 2 epigastric collections 3 x 4 x 4 cm and 6 x 5 x 4 cm likely to be an early abscess (Figure 1).
Upper gastrointestinal series with Gastrografin swallow showing no leakage.
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A Gastrografin study was also done and showed no leak (Figure 2).
X-ray abdomen showing the displacement of one double-pigtail drain into the collection (white arrow). A satisfying double-pigtail drain position across the leak orifice (yellow arrows).
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fig3
A double-pigtail stent was initially placed through the fistula into the cavity; however, during deployment, the stent migrated completely into the cavity (Figure 3).
Abdominal computed tomographic scan with intravenous contrast shows no leakage, and as compared to the previous study, the collection regressed after putting a stent. Arrow: displaced stent into the collection.
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fig4
On 30/9/2018, a repeat CT was done and revealed no evidence of oral water-soluble contrast leak, and it also showed significant improvement in the fluid collection (Figure 4).