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Fig. 9 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 9

From: Value of contrast-enhanced multidetector computed tomography in imaging of symptomatic patients after laparoscopic Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy

Fig. 9

A thirty-five-year-old female patient presented 3 days post-lap. sleeve gastrectomy by abdominal pain, fever, and tachycardia. a, b Upper gastrografin meal films revealed: free flow of contrast media through the esophagus with leakage of contrast media across the staple line. cf MSCT; axial and coronal reformatted images showed perigastric serpiginous air-filled tract seen extending from the left anterolateral aspect of the stomach adjacent to the surgical clips to the medial aspect of the left hepatic lobe associated with multiple gas bubbles under the diaphragm (pneumoperitoneum) together with increased perigastric fat density (inflammatory reaction)

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