Fig. 2

In a 39-year-old male with endoscopic and bioptic diagnosis of stomach adenocarcinoma, preoperative staging CT with oral water distension (A) showed marked solid, enhancing mural thickening from the gastric fundus along the greater curvature (thick arrow). On the fifth postoperative day (POD) after uncomplicated total gastrectomy with lymphadenectomy and splenectomy, contrast fluoroscopy (CF, B) showed normally patent, thin EJS (arrowhead) with opacification of jejunal limb and no anastomotic contrast medium leakage. Corresponding expected postsurgical contrast-enhanced CT (C, D) appearances at hospital discharge included stapled EJS (arrowheads) without peri-anastomotic air or fluid, absent spleen without collections in the surgical site