Presentation
Day 3 post sleeve gastrectomy, presenting with severe epigastric pain, fever, and tachycardia.
Patient Data
Only 200 mL of oral Gastrografin was tolerated secondary to pain.
Tubular stomach with an extravasated contrast material and gas in the left upper quadrant due to a postoperative leak mostly at the gastroesophageal junction.
Case Discussion
The patient presented with severe epigastric pain, fever, and tachycardia shortly after a sleeve gastrectomy. The clinical presentation and CT features are in keeping with staple line leakage mostly at the gastro-esophageal junction. Leak after sleeve gastrectomy often occurs in the first few days postoperative due to failure of staple line complete closure.