case_images: PMC9844956_01
case_images: Abdomen of the patient, upper umbilicus-xiphoid process showed scarring during gastric cancer surgery. Trocars were placed in four places (red circles). Palmer's point (P): 3 cm below the lower edge of the rib arch on the midclavicular line; Jain point (J): the left paraumbilical region 2.5 cm medially above the anterior superior iliac spine and up to the side of the navel.
case_images: rjac636f1.jpg
case_images: PMC9844956_01_rjac636f1.jpg
case_images: f1
case_images: As no adhesion was found in the lower abdomen, surgical ports were placed in three additional locations (Fig. 1).
case_images: Contrast-enhanced CT on the third day after the primary operation. (A) The continuity of the transverse colon wall was interrupted. (B) Abscess formation was suspected with a surrounding stool mass.
case_images: rjac636f2.jpg
case_images: PMC9844956_01_rjac636f2.jpg
case_images: f2
case_images: Abscess formation with a surrounding stool mass was suspected (Fig. 2).
case_images: Findings on repeat surgery. (A) The wall was markedly thin, but no perforation was noted. (B) Necrotic changes were observed locally on the mucosal surface of the colon by ~5 cm.
case_images: rjac636f3.jpg
case_images: PMC9844956_01_rjac636f3.jpg
case_images: f3
case_images: The proximal transverse colon was necrotic for ~5 cm, and the wall was markedly thin, but no perforation was noted (Fig. 3).