Collection after sleeve gastrectomy

Case contributed by Bahman Rasuli
Diagnosis almost certain


Sleeve gastrectomy 2 weeks earlier. Tender epigastric region and left upper abdomen.

Patient Data

Age: 45 years
Gender: Female
  • postoperative changes related to sleeve gastrectomy

  • a large collection at the operative bed with a close relation to the staple line measures about 10 x 15 x 18 cm (about 1000 cc) showing thin marginal enhancement with blurred surrounding fat planes

  • non-enhancing hypodensity along with spleen parenchyma upper pole

Case Discussion

Large hypodense collection after sleeve gastrectomy with a thin rim of enhancement.

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