case_images: PMC7060911_01
case_images: First X-ray was in ED which showed pneumoperitoneum with air fluid line
case_images: PAMJ-34-217-g001.jpg
case_images: PMC7060911_01_PAMJ-34-217-g001.jpg
case_images: f0001
case_images: Chest X-ray showed an average amount of air under diaphragm with air fluid line (Figure 1).
case_images: Second X-ray was 2 days after the first operation i.e. omental Graham patch operation, which showed a significant huge hydro pneumoperitoneum
case_images: PAMJ-34-217-g002.jpg
case_images: PMC7060911_01_PAMJ-34-217-g002.jpg
case_images: f0002
case_images: X-ray (Figure 2) and computed scan (CT) scan showed a huge amount of hydro pneumoperitoneum (Figure 3, Figure 4).
case_images: CT Scan was 2 days after omental Graham patch operation, showing massive hydro pneumoperitoneum
case_images: PAMJ-34-217-g003.jpg
case_images: PMC7060911_01_PAMJ-34-217-g003.jpg
case_images: f0003
case_images: X-ray (Figure 2) and computed scan (CT) scan showed a huge amount of hydro pneumoperitoneum (Figure 3, Figure 4).
case_images: CT Scan was 2 days after the first operation, omental Graham patch operation, showing massive hydro pneumoperitoneum
case_images: PAMJ-34-217-g004.jpg
case_images: PMC7060911_01_PAMJ-34-217-g004.jpg
case_images: f0004
case_images: X-ray (Figure 2) and computed scan (CT) scan showed a huge amount of hydro pneumoperitoneum (Figure 3, Figure 4).
case_images: Third X-ray was 6 days after the second operation, omental buttressing, that showing no air or fluid in abdominal cavity
case_images: PAMJ-34-217-g005.jpg
case_images: PMC7060911_01_PAMJ-34-217-g005.jpg
case_images: f0005
case_images: Omental buttressing was done and the patient was OK after that (Figure 5).