case_images: PMC4010032_01
case_images: Reconstructed surface view of abdominal and pelvis illustrating patients with high body mass index.
case_images: CRIM.CRITICAL.CARE2012-807161.001.jpg
case_images: PMC4010032_01_CRIM.CRITICAL.CARE2012-807161.001.jpg
case_images: fig1
case_images: The increased BMI can be seen on the scout images of the initial computed tomogram, Figure 1.
case_images: Thoracic stent graft (black arrows) and resolving thoracic hematoma (white arrows).
case_images: CRIM.CRITICAL.CARE2012-807161.002.jpg
case_images: PMC4010032_01_CRIM.CRITICAL.CARE2012-807161.002.jpg
case_images: fig2
case_images: Loss of lung volumes and residual hematoma surrounding the stent graft on follow-up CT scan, Figure 2, suggest a need for continued ventilator and nutritional support.
case_images: In RAO projection, a hemostat compressed the soft tissue against the insufflated stomach (white arrow) excluding other viscera from the path. The nasogastric tube (black arrow) used for insufflations lies above.
case_images: CRIM.CRITICAL.CARE2012-807161.003.jpg
case_images: PMC4010032_01_CRIM.CRITICAL.CARE2012-807161.003.jpg
case_images: fig3
case_images: Bowel was excluded from the access path using multiprojection fluoroscopic imaging while compressing the abdominal wall onto the distended stomach, Figure 3.
case_images: The guide wire (white arrow) directed into the gastric lumen and up the esophagus under fluoroscopic control.
case_images: CRIM.CRITICAL.CARE2012-807161.004.jpg
case_images: PMC4010032_01_CRIM.CRITICAL.CARE2012-807161.004.jpg
case_images: fig4
case_images: A 180 cm 0.035'' wire was advanced through the needle and directed up the esophagus beside the feeding tube, Figure 4.