PMC3657334_01
Falciform ligament being clipped into place inside the duodenum
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F3
It was clipped into place and an airtight seal was confirmed (Figure 3, Figure 4) The patient recovered uneventfully and underwent a water-soluble contrast study on postoperative day 2 which did not demonstrate any leak (Figure 5).
Falciform ligament clipped into place, final intraluminal view
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F4
It was clipped into place and an airtight seal was confirmed (Figure 3, Figure 4) The patient recovered uneventfully and underwent a water-soluble contrast study on postoperative day 2 which did not demonstrate any leak (Figure 5).
Postoperative image taken from water-soluble radiographic contrast study (case #1)
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F5
It was clipped into place and an airtight seal was confirmed (Figure 3, Figure 4) The patient recovered uneventfully and underwent a water-soluble contrast study on postoperative day 2 which did not demonstrate any leak (Figure 5).
PMC3657334_02
Image from postoperative water soluble radiographic study (case #2)
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F6
A water-soluble radiographic contrast study on postoperative day 2 is depicted in Figure 6.
PMC3657334_03
Laparoscopic view of the endoscope exiting the ulcer perforation
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F7
The endoscope easily passed through the perforation site and into the peritoneal cavity where abundant adhesions and fibrinous exudate were seen, as a result of the prior (Figure 7 and Figure 8).
Endoscopic view of the peritoneal cavity with fibrinous exudate
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F8
The endoscope easily passed through the perforation site and into the peritoneal cavity where abundant adhesions and fibrinous exudate were seen, as a result of the prior (Figure 7 and Figure 8).