case_images: PMC6288317_01
case_images: Patient 1, prior to surgery. Herniation of the distended stomach into the thoracic cavity. The dilatation above and below diaphragm is shown.
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case_images: PMC6288317_01_gr1.jpg
case_images: fig0005
case_images: CT scan revealed that proximal 2/3 of the stomach was herniated into the left hemithorax (Fig. 1).
case_images: Patient 1. CT on second postop. day. Infarction in the left liver lobe (1) and the spleen (2) with neighbouring fluid collection (3).
case_images: gr2.jpg
case_images: PMC6288317_01_gr2.jpg
case_images: fig0010
case_images: A repeat CT scan postoperatively demonstrated abdominal fluid and infarctions of the upper part of the spleen and peripherally in the left liver lobe (Fig. 2).
case_images: Patient 1. CT on second postop day. Lack of perfusion (arrow) of a distal segment of the pancreatic body.
case_images: gr3.jpg
case_images: PMC6288317_01_gr3.jpg
case_images: fig0015
case_images: There was also lack of perfusion of a segment of the pancreatic body (Fig. 3).
case_images: Patient 1. Preoperative CT. Compression of the pancreas (large arrow) and the coeliac trunk (arrow) from a massively dilated stomach.
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case_images: PMC6288317_01_gr4.jpg
case_images: fig0020
case_images: The preoperative CT scan was reinvestigated and revealed extensive compression by the extended and undrained stomach affecting the pancreas and the coeliac trunk (Fig. 4).
case_images: Patient 1. After final stent removal the anastomosis was intact and open.
case_images: gr5.jpg
case_images: PMC6288317_01_gr5.jpg
case_images: fig0025
case_images: A forth stent (Endoflex) was necessary until day 103 for complete healing of the anastomosis (Fig. 5).
case_images: Patient 2 prior to surgery. Free air around the perforated stomach encircled by the peritoneum.
case_images: gr6.jpg
case_images: PMC6288317_01_gr6.jpg
case_images: fig0030
case_images: Repeat CT showed free air around the herniated stomach and fluid in the abdomen (Fig. 6).