PMC5579448_01
(A) gastric juice appears from below the liver; (B) right lobe of the liver is elevated and gastric trauma is visible; (C) gastric trauma is sutured
PAMJ-27-173-g001.jpg
PMC5579448_01_PAMJ-27-173-g001.jpg
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Upon introducing the scope, a frothy liquid material was observed between the liver and the stomach (Figure 1 A). By lifting the right lobe, a 3cm long full thickness fissure on the anteriorsuperior gastric wall was evident (Figure 1B). Primary one layer closure of the rupture was performed with interrupted laparoscopic Ti-cron 2-0 sutures (Figure 1C).