case_images: PMC11805583_01
case_images: Index CT scan on presentation to ED. Green arrow indicating gas surrounding splenic hilum. White arrow indicating intra-abdominal free fluid.. ED, emergency department; CT, computed tomography
case_images: cureus-0017-00000078697-i01.jpg
case_images: PMC11805583_01_cureus-0017-00000078697-i01.jpg
case_images: FIG1
case_images: Repeat CT scan, day one post-diagnostic laparoscopy. Green arrow indicating ruptured splenic capsule. White arrow indicating increasing intra-abdominal free fluid.. CT, computed tomography
case_images: cureus-0017-00000078697-i02.jpg
case_images: PMC11805583_01_cureus-0017-00000078697-i02.jpg
case_images: FIG2
case_images: A repeat CT scan showed increasing intra-abdominal fluid, especially along the left paracolic gutter (Figure 2).
case_images: CT scan of intra-abdominal collection, day six post-splenectomy. Green circle highlighting the source of gastric sleeve leak at the superior aspect of the staples line. White arrows indicate dumbbell-shaped intra-abdominal gas and fluid collection.. CT, computed tomography
case_images: cureus-0017-00000078697-i03.jpg
case_images: PMC11805583_01_cureus-0017-00000078697-i03.jpg
case_images: FIG3
case_images: However, by the sixth postoperative day, she developed worsening abdominal pain and a persistent elevation in CRP, and imaging revealed a recurrent fluid collection (Figure 3).
case_images: Endoscopic view of gastric sleeve leak with suture material on view. White arrow indicating black suture material on view through a pinpoint defect in the superior aspect of the staple line.
case_images: cureus-0017-00000078697-i04.jpg
case_images: PMC11805583_01_cureus-0017-00000078697-i04.jpg
case_images: FIG4
case_images: The endoscopic evaluation identified a small 5 mm staple line leak with black suture material on a view (Figure 4).