case_images: PMC6159306_01
case_images: CT scan with intravenous and oral contrast showing air and a faint suggestion of oral contrast outside of the suture, late phase (arrow). P, posterior; R, right.
case_images: bjrcr.20160076.g001.jpg
case_images: PMC6159306_01_bjrcr.20160076.g001.jpg
case_images: f1
case_images: When the patient arrived at our centre, the CT films from the outside hospital were reviewed by our radiologists and there was concern that there was air and a faint suggestion of oral contrast outside of the suture line (Figure 1).
case_images: (a) Upper gastrointestinal series, early phase. (b) Upper gastrointestinal series, late phase. Arrow indicates extravasated extraluminal contrast representing leak on CT.
case_images: bjrcr.20160076.g002.jpg
case_images: PMC6159306_01_bjrcr.20160076.g002.jpg
case_images: f2
case_images: During the early phase, no leak was observed, owing, in part, to the slow passage of 30 ml oral non-ionic contrast (Figure 2a). Only after delayed imaging and with administration of additional non-ionic contrast for a total of about 65 ml (approximately 2 h after the start of the fluoroscopic examination) was there a faint suggestion of extravasated contrast, best seen below the left hemidiaphragm (Figure 2b).
case_images: CT scan with contrast confirming leak, late phase. Arrow indicates extravasated extraluminal contrast and air representing leak on CT.
case_images: bjrcr.20160076.g003.jpg
case_images: PMC6159306_01_bjrcr.20160076.g003.jpg
case_images: f3
case_images: Follow-up CT scan with oral contrast confirmed the obvious leak (Figure 3).