Fig. 13

In a 76-year-old woman with T4 N2 gastric cancer, three days after total gastrectomy unenhanced CT (A) showed minimal residual pneumoperitoneum and extensive air (*) surrounding the EJS (arrowheads). Repeated unenhanced CT with oral contrast administration (B, C) showed patent EJS (arrowheads) and confirmed circumferential anastomotic leakage (*), which was initially managed conservatively but ultimately required reintervention with redo anastomosis six days later because of failed clinical improvement and progressive anemization