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Successful treatment of refractory complete separation of an esophagojejunal anastomosis after laparoscopic total gastrectomy: a case report

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Figure

Fig. 1 Clinical course of the patient. The patient’s clinical symptoms resolved, including his abdominal pain and fever, and his blood data improved (his white blood cell count was 8670/mm3 on day 7 after the second surgery)
Fig. 2 Esophagojejunostomy using a transoral anvil. A transoral anvil (OrVil™ 25 mm) was used for esophagojejunostomy
Fig. 4 The refractory total separation of the esophagojejunal anas-tomosis region. Laparoscopy revealed saliva and contaminant ascites causing a thick white collection around the esophagojejunal anasto-mosis
Fig. 5 Computed tomography 6 days after the first emergency surgery. Fluid accumulation could be observed in the anterior area of the inferior duodenal flexure together with peritoneal hypertrophy of the whole abdominal area
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