PMC3021346_01
Free intraperitoneal air was clearly demonstrated by plain films of the abdomen.
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F1
The plain radiograph of the abdomen demonstrated free intraperitoneal air (Figure 1), and a computed tomography (CT) scan confirmed the presence of free intraperitoneal air and subdiaphragmatic effusion (Figure 2).
CT scan confirmed the presence of free intraperitoneal air, showing subdiaphragmatic effusion.
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F2
The plain radiograph of the abdomen demonstrated free intraperitoneal air (Figure 1), and a computed tomography (CT) scan confirmed the presence of free intraperitoneal air and subdiaphragmatic effusion (Figure 2).
A severe form of cirrhosis of the liver was confirmed by laparoscopy.
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F3
A severe form of cirrhosis of the liver was confirmed (Figure 3), and the entire peritoneal cavity was found to be affected by diffuse peritonitis (Figure 4).
Laparoscopy revealed diffuse peritonitis.
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F4
A severe form of cirrhosis of the liver was confirmed (Figure 3), and the entire peritoneal cavity was found to be affected by diffuse peritonitis (Figure 4).
A perforation, 1 cm in diameter, was demonstrated in the anterior wall of the stomach, 2 cm proximal to the pylorus.
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F5
A perforation, 1 cm in diameter, was present in the anterior wall of the stomach, 2 cm proximal to the pylorus (Figure 5).
Suture closure and intracorporeal knot-tying technique were performed.
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F6
An interrupted suture, using Vicryl 2-0, was performed using an intracorporeal knot-tying technique (Figure 6).
An omental patch was also sutured to the gastric wall.
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F7
An omental patch was also sutured to the gastric wall (Figure 7).
A minor leak from the gastric wound was observed with a Gastrografin study.
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F8
A Gastrografin, study was performed on the 5th postoperative day that showed a minor leak from the gastric wound (Figure 8), managed by total parenteral nutrition for 5 additional days.
Complete closure of the gastric wound at Gastrografin study.
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F9
Another Gastrografin, study, performed on the 10th postoperative day, showed complete closure of the gastric suture (Figure 9).