Abstract
We report on a 54-year-old woman with extreme obesity (body mass index [BMI] = 42.8 kg/m2) who underwent laparoscopic sleeve gastrectomy (LSG). Two weeks after discharge, she presented with fever, shivering, and on physical examination, a localized epigastric tenderness. Blood analysis found high C-reactive protein (CRP) level (150 mg/dL), and nonenhanced multidetector row computed tomography (MDCT) with oral contrast found esophageal leak into stranded perigastric fat, filled with oral contrast material and air (Fig.
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