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Thank you for the CT image and the accompanying summary. This is an unusual condition and your report brings it to our attention. I am writing to mention that another potential cause is an upper-GI anastomosis, and particularly one between stomach and small intestine, and I have seen a recent case after a Whipple's operation (Billroth 2 reconstruction of the stomach).
Kind Regards
Sean Mackay MBBS MD FRACS
Competing interests:
No competing interests
22 September 2019
Sean DP Mackay
HPB, Upper GI, and Bariatric surgeon, Senior Lecturer
Eastern Health Medical School, Monash University, Melbourne, Australia
Eastern Health Clinical School, 5 Arnold St, Box Hill 3128, Melbourne, Victoria, Australia
Re: Liver and spleen pneumatosis
Dear Dr Liang and Professor Miao
Thank you for the CT image and the accompanying summary. This is an unusual condition and your report brings it to our attention. I am writing to mention that another potential cause is an upper-GI anastomosis, and particularly one between stomach and small intestine, and I have seen a recent case after a Whipple's operation (Billroth 2 reconstruction of the stomach).
Kind Regards
Sean Mackay MBBS MD FRACS
Competing interests: No competing interests