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Gastric perforation following stereotactic body radiation therapy of hepatic metastasis from colon cancer  Matthew J. Furman, MD, Giles F. Whalen, MD,

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Presentation on theme: "Gastric perforation following stereotactic body radiation therapy of hepatic metastasis from colon cancer  Matthew J. Furman, MD, Giles F. Whalen, MD,"— Presentation transcript:

1 Gastric perforation following stereotactic body radiation therapy of hepatic metastasis from colon cancer  Matthew J. Furman, MD, Giles F. Whalen, MD, Shimul A. Shah, MD, Sidney P. Kadish, MD  Practical Radiation Oncology  Volume 3, Issue 1, Pages (January 2013) DOI: /j.prro Copyright © 2013 American Society for Radiation Oncology Terms and Conditions

2 Figure 1 SBRT simulation depicting the suspected gastric wall and hepatic tumor border. The arrow marks the suspected gastric wall and hepatic tumor border. In the absence of oral contrast the delineation of the gastric borders is difficult. Practical Radiation Oncology 2013 3, 40-44DOI: ( /j.prro ) Copyright © 2013 American Society for Radiation Oncology Terms and Conditions

3 Figure 2 Computed tomography scan depicting the gastrohepatic fistula; surgical clips clearly seen at cut liver edge. The arrow marks the gastrohepatic fistula; surgical clips are clearly seen at cut liver edge. Practical Radiation Oncology 2013 3, 40-44DOI: ( /j.prro ) Copyright © 2013 American Society for Radiation Oncology Terms and Conditions

4 Figure 3 Intraoperative picture depicting liver bed after resection of gastrohepatic fistula. Practical Radiation Oncology 2013 3, 40-44DOI: ( /j.prro ) Copyright © 2013 American Society for Radiation Oncology Terms and Conditions

5 Figure 4 Gross pathology of resected stomach with adjacent liver bed.
Practical Radiation Oncology 2013 3, 40-44DOI: ( /j.prro ) Copyright © 2013 American Society for Radiation Oncology Terms and Conditions

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