Fig. 11
From: Early postoperative imaging after non-bariatric gastric resection: a primer for radiologists
A 68-year-old male with recurrent gastric carcinoma on previous Billroth II gastrectomy for peptic ulcer was treated with total gastrectomy. Postoperative anemization required blood transfusions. On 12th POD, contrast-enhanced CT (A, B) showed persistent intraperitoneal air, a mixed attenuation collection (*) adjacent to the EJS (arrowheads), consistent with anastomotic dehiscence, a subacute blood collection (+) in the site of splenectomy. After percutaneous drainage, AL was treated with positioning of a metallic stent (C) through the EJS. Persistent leakage of oral iodinated contrast (*) at follow-up CF (D, E) led to removal of the stent and positioning of a self-expanding stent (F)