34 years old, 4 years after sleeve gastrectomy, has had a leak postop, drained and thought of as resolved. Asymptomatic for more than three years...
Came with fever chills and shoulder pain for some time...
on CT: liver abscesses, left subphrenic abscess and leak from the Sleeve...all were drained
after attempting to stent -on endoscopy - three small orifices of fistula - covered by epithelium...
drained, decided to operate |