case_images: PMC6754919_01
case_images: Computed tomographic scan showing perigastric collection adjacent to gastroesophageal junction and along sleeve gastrectomy sutures. Arrow: perigastric collection.
case_images: CRIS2019-6974527.001.jpg
case_images: PMC6754919_01_CRIS2019-6974527.001.jpg
case_images: fig1
case_images: CT abdomen was done and revealed 2 epigastric collections 3 x 4 x 4 cm and 6 x 5 x 4 cm likely to be an early abscess (Figure 1).
case_images: Upper gastrointestinal series with Gastrografin swallow showing no leakage.
case_images: CRIS2019-6974527.002.jpg
case_images: PMC6754919_01_CRIS2019-6974527.002.jpg
case_images: fig2
case_images: A Gastrografin study was also done and showed no leak (Figure 2).
case_images: X-ray abdomen showing the displacement of one double-pigtail drain into the collection (white arrow). A satisfying double-pigtail drain position across the leak orifice (yellow arrows).
case_images: CRIS2019-6974527.003.jpg
case_images: PMC6754919_01_CRIS2019-6974527.003.jpg
case_images: fig3
case_images: A double-pigtail stent was initially placed through the fistula into the cavity; however, during deployment, the stent migrated completely into the cavity (Figure 3).
case_images: Abdominal computed tomographic scan with intravenous contrast shows no leakage, and as compared to the previous study, the collection regressed after putting a stent. Arrow: displaced stent into the collection.
case_images: CRIS2019-6974527.004.jpg
case_images: PMC6754919_01_CRIS2019-6974527.004.jpg
case_images: fig4
case_images: On 30/9/2018, a repeat CT was done and revealed no evidence of oral water-soluble contrast leak, and it also showed significant improvement in the fluid collection (Figure 4).