Staple line leaks after bariatric surgery

Case contributed by Bahman Rasuli
Diagnosis almost certain


Persistent abdominal pain and distension, and fever two weeks after bariatric surgery.

Patient Data

Age: 40 years
Gender: Female

Abscesses adjacent to the staple line with no contrast material leak.

Large splenic abscess.

Left-sided pleural effusion and the passive collapse of the left lower lobe.


Case Discussion

Localized fluid collection or abscess may be the only sign of a leak on CT scans and extravasation of the oral contrast materials is rarely seen in the case of a small leak.

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