Fig. 9

An 81-year-old male with T3 N2 cancer of the lesser gastric curvature (thick arrow) as preoperatively depicted by CT with oral water distension (A) underwent total gastrectomy with Roux-en-Y reconstruction. On 9th POD CT was performed because of bile from drainage: unenhanced (B) and post contrast (C-F) scans with oral contrast showed normally opacified and patent EJS (arrowheads) without evidence of anastomotic leak (note tip of surgical drainage abutting the EJS in C). Abutting the stapled DS (thin arrows) a non-capsulated fluid collection (*) corresponded to DS leakage which was conservatively managed