A 42-year-old, BMI 42kg/m2
female, suffering from arterious
hypertension underwent laparoscopic sleeve gastrectomy.
Intraoperative indocyanine-green enhanced fluorescence imaging
showed proper vascularization of the gastric tube (Figure 1). A barium
swallow on second postoperative day showed no leak or stenosis
(Figure 2). A gastric fistula at the EGJ appeared 5 days after surgery.
The patient presented fever, abdominal pain, dispnea, leukocytosis
and high values of CRP. A thoraco-abdominal computed tomography
(CT) scan with oral contrast detected a gastric leak just below the EGJ
supplying a left sub diaphragmatic collection extended all over the
splee
