PMC3860019_01
Appearance of upper gastrointestinal endoscopy. White arrow heads show 0-IIc lesion at lesser curve of antrum.
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Preoperative endoscopy revealed a 2.0 cm x 1.5 cm depressed-type (0-IIc) lesion in the lower third of the stomach that was histologically diagnosed as signet ring cell carcinoma (Fig. 1).
Clinical course. Wtr, water; SD, soft diet; BT, body temperature.
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On postoperative day 4, the patient was allowed oral intake of food (Fig. 2), but 3 h after she ate food, the drain output increased with the fluid, which had a high triglyceride level (740 mg/dL), changing from clear to milky.
A contrast-enhanced CT scan shows a little ascites at pelvic space (white arrow).
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Computed tomography revealed collected fluid in the pelvic space and a small amount in the upper abdominal space (Fig. 3), and thus, we immediately discontinued her oral intake; the drain discharge became clear again.