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case_images: Chest radiograph on postoperative Day 12 after pancreatectomy A chest radiograph showing a right-sided sub-massive pleural effusion.
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case_images: On postoperative Day 12, a chest radiograph showed an acute development of right hydrothorax (Fig. 1).
case_images: Operative findings during thoracic surgery. (A) Operative findings show a diaphragmatic fistula (arrow). (B) The fistula is closed with a surgical stapler. (C) The resected diaphragm shows a pleuroperitoneal communication. (Fibrosis was observed; however, no other pathological abnormality was identified in the excised diaphragmatic tissue.)
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case_images: Intraoperatively, we detected a small fistula on the right hemidiaphragm and closed the fistula with partial resection of the diaphragm (Fig. 2A-C).
case_images: Abdominal computed tomography (CT) after thoracic surgery. Abdominal CT after thoracic surgery shows sub-massive ascites (arrows).
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case_images: An abdominal computed tomography revealed large ascites (Fig. 3).