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. 2023 Nov 6;17:461. doi: 10.1186/s13256-023-04200-9

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© The Author(s) 2023

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

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Fig. 1 — A–D CT scan of abdomen and pelvis performed with IV and oral contrast demonstrated (A, B) abnormal communication between gastric fundus, left pleural reflection over left hemi diaphragm as well as the left chest wall, representing gastro-pleural and gastro-cutaneous fistulae (arrows). This is confirmed by the administration of oral contrast (C, D). With contrast tricking from the gastric fundus into the left pleural cavity (arrows)