Intraluminal migration of a surgical drain near an anastomosis site after total gastrectomy: A case report

Figure 1 Computed tomography scan with oral contrast demonstrating oral contrast filling a fluid collection to the left of the esophagojejunal anastomosis, raising high suspicion for an anastomotic leak. A: Axial view; B: Coronal view.

Figure 2 Contrast swallow radiograph demonstrating contrast filling of the abdominal drain without evidence of extraluminal extravasation into the abdominal cavity. The position of the drain was estimated to be optimal, in close proximity to the esophagojejunal anastomosis.

Figure 3 Endoscopy on postoperative day 59 revealed iatrogenic perforation of the jejunum secondary to drain migration. The perforation site was located approximately 2 cm distal to the intact esophagojejunostomy (EJA), which showed no signs of dehiscence. A: The tip of the drain within the esophagus; B: The perforation site near the EJA; C: An intact EJA with surgical clips visible.